| NPI | 1194153676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DURGIN Administrator 321-258-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11912) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |