| NPI | 1114320488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD SANTOS Administrator 407-599-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL 9198) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |