| NPI | 1245442912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE THESLYN WILLIAMS Director 321-727-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: FL 9112) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-01-10 |