| NPI | 1306180724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAMACHO WARE Administrator/Owner 386-274-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8471) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |