| NPI | 1194076695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVINE BARRETT Administrator 321-821-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11950) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |