| NPI | 1346917267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROSS Owner/Administration 352-219-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-21 |