| NPI | 1215377759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL R GIFFORD Administrator 352-343-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12030) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |