| NPI | 1407277437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MIKULA Administrator 352-861-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9315) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |