| NPI | 1144624099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BUISSERETH Owner 407-690-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL CNA33740) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |