| NPI | 1114261518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKE MACK Executive Director 941-906-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9060) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |