| NPI | 1558545475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHARLES JOHNSON Executive Director 407-892-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10398) |
| Additional Taxonomies | 251C00000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2014-03-01 |