NPI | 1093156622 |
---|---|
Doing Business As | SMALLVILLE 1 |
Entity Type | Organization |
Authorized Contact | FRANK LEGASPI Adm/Owner 321-354-9734 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al10997) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |