| NPI | 1528686672 |
|---|---|
| Former Legal Business Name | CHRISTALLIS MANOR II LLC |
| Entity Type | Organization |
| Authorized Contact | AMPARO M DIERKING Owner 954-274-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-10-01 |