| NPI | 1194068221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY-ANN JOHNSON Administrator 321-327-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12260) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |