NPI | 1093093775 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE ELLENBOGEN Administrator 954-266-4015 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12022) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2011-07-28 |