| NPI | 1558662734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN MARTINEZ Owner/Administrator 321-473-8692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL 10932) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |