NPI | 1124302617 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMLAWATY LAKRAM Administrator 772-595-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL9025) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2011-10-04 |