| NPI | 1528207693 |
|---|---|
| Other Name | SOUTHERN LIFESTYLE |
| Entity Type | Organization |
| Authorized Contact | CHARLES A OAKES Administrator 863-465-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11211) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: FL AL11211) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |