| NPI | 1508549262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WAYNE OOSTING CEO 321-432-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |