| NPI | 1356788996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE GADSDEN Owner 941-743-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906148) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |