NPI | 1255776811 |
---|---|
Doing Business As | BENTON HOUSE OF TITUSVILLE |
Entity Type | Organization |
Authorized Contact | SHELLEY ANN BEVILLE Executive Director 321-383-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11575) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2013-05-08 |