| NPI | 1396902193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN POWERS SALVATO Owner/Administrator 772-285-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9008) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |