| NPI | 1528423878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WARTHEN Owner 352-403-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906706) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |