| NPI | 1356550198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. HUDGINS Executive Director 863-293-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5494) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |