| NPI | 1194159996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL NEWTON Administrator 772-626-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12295) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |