| NPI | 1386811735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GAYLE Administrator 772-878-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10780) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |