| NPI | 1104313790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE WOBERAERE EJIOWHOR Owner/Administrator 407-497-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13064) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-06-16 |