| NPI | 1366685281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE CRESONG Owner Caregiver 407-715-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11558) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |