| NPI | 1205171337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA G DEGUZMAN Vice President 386-283-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL#9081) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |