| NPI | 1558694844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLINE REID Owner/Operator 386-447-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL1035) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |