NPI | 1538630819 |
---|---|
Doing Business As | ETERNALLY RICH ASSISTED LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | ADRIANE M GREEN Owner/Administrator 850-322-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
311ZA0620X Custodial Care Facility, Adult Care Home | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2022-05-02 |