| NPI | 1245627918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MULHERIN Owner/Administrator 772-979-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8841) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |