| NPI | 1477994499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIZA M BACHNER Owner 239-673-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906550) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |