| NPI | 1417458621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA V HEGUI Owner/Admin. 239-571-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13127) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |