NPI | 1285165233 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE GREENE Administrator 407-310-9405 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12422) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |