| NPI | 1437492519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH L LEWIS Administrator 321-684-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10861) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |