NPI | 1366823734 |
---|---|
Doing Business As | DIXIE LODGE ASSISTED LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | JEFF YUZEFPOLSKY CEO 786-325-1963 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL1077) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2015-06-30 |