NPI | 1104259845 |
---|---|
Entity Type | Organization |
Authorized Contact | ECLAIRE CHERISOL Administrator/Director 772-905-7536 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12380) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2013-08-16 |