| 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 |