| NPI | 1508203571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A CHERY Owner 941-629-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905514) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |