| NPI | 1093140451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA MARIE SOUTHERN Director Of Assisted Living 239-454-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12163) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2020-01-28 |