| NPI | 1083100440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE COLEMAN Owner/Administrator 772-240-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13156) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |