| NPI | 1134675234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITRI JOHNSON Administrative Assistant 863-226-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8869) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-02-16 |