| NPI | 1104269026 |
|---|---|
| Doing Business As | BAXTER'S ADULT HOME |
| Entity Type | Organization |
| Authorized Contact | YVONNE S FRELANI Owner/Administrator 772-871-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11666) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |