NPI | 1427428218 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN MARIE SALIEN Provider 772-919-5121 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6906759) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-11-23 |