| NPI | 1134462013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE ANN HAYS Owner/Administrator 321-537-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11304) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |