| NPI | 1417135682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN CAMMARSANA Adm 772-626-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11331) |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2008-10-31 |