| NPI | 1215543657 |
|---|---|
| Doing Business As | ASSISTED L IVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | TENESCA DELVA Administrator 321-543-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |