| NPI | 1437640653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LIGHTBOURNE Administrator/Owner 954-993-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12037) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |