| NPI | 1215221221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE MESAROS CEO/Owner 321-693-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11779) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |