| NPI | 1528495868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCIE MAY JOHNSON Owner/Administrator 321-327-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906635) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-01-23 |