| NPI | 1093175812 |
|---|---|
| Former Legal Business Name | ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | CANIDIDA ROLON Owner 407-731-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al12796) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |