| NPI | 1316242019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS WORGES Owner 407-396-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906427) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |