| NPI | 1407150196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL STANBURY Vice President 954-914-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 1000411) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |