| NPI | 1407293301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN MEDRANO Owner/Administrator 239-910-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al5582) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |