| NPI | 1235472119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN GEORGES Manager 321-626-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11779) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |