| NPI | 1497922538 |
|---|---|
| Doing Business As | ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | VIOLET VERONA BURKE7728711106 Administrator 772-871-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL750) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |