| NPI | 1225378730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE A CULVER Owner/Administrator 386-689-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8788) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |