| 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 |