| NPI | 1326399833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJWANTIE LAL Adminastrator 772-460-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 7824) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |