| NPI | 1326448358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA RICHARDS Administrator 863-687-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL al5556) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |