| NPI | 1215104096 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | PAULA N RAUCHETT Owner/Administator 772-464-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7462) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |