| NPI | 1104183243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEE DUNLEAVY Owner Administrator 321-632-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10167) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |