| NPI | 1386228187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA ANTHIA WILSON Owner 407-970-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-20 |