| NPI | 1174780563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BLAIR SHEPHERD Director Of Wellness 772-337-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9628) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |