NPI | 1417175860 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA J EARP Controller 863-293-0072 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5504) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |