| NPI | 1366642407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DEAVERS Assistant Administrator 239-597-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5582) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |