NPI | 1164974887 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNROD DOUGLAS Administrator 561-557-3663 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906797) |
Enumeration Date | 2016-10-28 |
Last Update Date | 2016-10-28 |