| NPI | 1215362314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU HURLBURT Owner 386-756-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8361) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2013-09-07 |