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 |