| NPI | 1114570827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MINOTT CEO 407-953-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |