| NPI | 1508212010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PEARSON President 386-275-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12818) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |