| NPI | 1508298860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIENNE POWIS Owner/ Administrator 386-740-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11216) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |