| NPI | 1417445685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WADE MOULTON CFO 941-921-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8267) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-02-22 |