| NPI | 1144689852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN MCKNIGHT Mgmr 321-501-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12735) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |