| NPI | 1538608930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARSHALL Owner 863-307-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 6906156) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2019-03-06 |