NPI | 1538577127 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER VARDELEON GUNN Administrator 352-600-7121 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12538) |
Enumeration Date | 2014-07-27 |
Last Update Date | 2014-07-27 |