| NPI | 1538651831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASCAR LORENZO Ownwe/Administrator 407-785-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13140) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |