| NPI | 1306180336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA ANCONA Administrator/Secretary/Treasurer 386-767-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5650) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |