| NPI | 1497098214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE RENEE EUBANKS Executive Director 407-859-7990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12300) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |