| NPI | 1255509204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE ST. LOUIS Administrator 321-872-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11074) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |