| NPI | 1194010587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAH T BENSON Owner/Administrator 352-684-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10342) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |