| NPI | 1386952257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MULLINS Administrator 352-200-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11785) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |