| NPI | 1326974320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DUBREUS Owner And Administrator 863-712-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |