| NPI | 1205243607 |
|---|---|
| Doing Business As | INEZ GWENDOLYN FREEMAN |
| Entity Type | Organization |
| Authorized Contact | INEZ GWENDOLYN FREEMAN Owner 321-956-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906248) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |