| NPI | 1205347085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEA SMITH Administrator 954-292-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12624) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |