| NPI | 1538506688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA WILSON Administrator/Partner 239-368-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 7210) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |