| NPI | 1124467691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAYUGAN BATTUNG Administrator 407-843-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL4860) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |