| NPI | 1528400066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GUIMOND Owner / Administrator 772-879-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8849) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |