| NPI | 1083057459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GO Owner/Adminstrator 352-338-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6688) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |