| NPI | 1447697347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA FRANKLIN WEIR Administrator 772-233-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6906565) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: FL 6906565) |
| 314000000X Skilled Nursing Facility (Licence: FL 6906565) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |