NPI | 1336430990 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA V TOMINES Owner/Manager 321-682-5806 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11854) |
Enumeration Date | 2011-04-29 |
Last Update Date | 2011-04-29 |