| NPI | 1265723456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQULINE R LILLY President 352-484-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11730) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL 11730) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |