| NPI | 1295110039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL A SHEPHERD Administrator 772-353-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12581) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |