| NPI | 1114184512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDER L JOHNSEN President 352-387-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10647) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |