NPI | 1487178166 |
---|---|
Other Name | CAYONNA M. MOORE |
Entity Type | Organization |
Authorized Contact | CAYONNA M MOORE-STRODDER Administrator 863-662-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
343900000X Non-emergency Medical Transport (VAN) | |
385H00000X Respite Care | |
Enumeration Date | 2017-08-03 |
Last Update Date | 2021-07-22 |