| NPI | 1255681854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BEASLEY Owner 352-428-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10255) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL AL10255) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |