| NPI | 1366888968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENELDENA M CHAMBERS Aministrator 772-335-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11906) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |