NPI | 1184965097 |
---|---|
Doing Business As | PEMBROOK PLACE |
Entity Type | Organization |
Authorized Contact | COLLIN B MULDER Administrator/Owner 727-536-5865 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2013-03-04 |
Last Update Date | 2013-03-04 |