| NPI | 1568705937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQULINE LILLY Owner/Administrator 352-292-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |