| NPI | 1538505672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN WILKES Administrator 321-453-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al12201) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |