NPI | 1457720815 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON DENISE WARTHEN Owner 352-403-8108 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6906706) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |