| NPI | 1104084318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WERNER Executive Director 772-287-6001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8773) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-05-26 |