| NPI | 1386046373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE COKE Administrator 561-572-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11968695) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |