| NPI | 1427807734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLANDA CERISIERS Administrator 239-350-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |