| NPI | 1235805847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVET A FLOWERS DAVIS Administrator 941-626-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |