| NPI | 1245400910 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DELPHANIE MELBOURNE Owner/ Administrator 407-432-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2008-03-09 |