| NPI | 1477905800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL HOFFMANN Administrator 407-593-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL ALF 245) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |