| NPI | 1518167469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE TILLMAN Executive Director 352-746-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL4987) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-08-22 |