| NPI | 1265994289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUGEY G LIBRADO Administrator 407-968-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |