| NPI | 1487290730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAMILTON Administrator 561-398-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-06-05 |