| NPI | 1306013677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOSAMMA THOMAS Administrator 772-692-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8163) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |