| NPI | 1457799751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RICHARDSON Director 321-674-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12307) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |