| NPI | 1326854407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIA BAPTISTE Administrator 239-285-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |