| NPI | 1417392150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALYCE CARTER Owner/Administrator 386-755-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7558) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |