| NPI | 1518359363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYTONYA HARGROVE Administrator 352-409-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11984) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |