| NPI | 1568760429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEN GERMAIN Administrator 321-574-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11359) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |