| NPI | 1417206400 |
|---|---|
| Doing Business As | MIZADA ASSISTANT LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LIGHTBOURN President 772-336-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AH12155) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |