| NPI | 1306103692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GARVIN Occupational Therapist 772-781-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL OT14870) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |