| 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 |