| NPI | 1568908259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE PAUL Administrator/Owner 772-924-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12924) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |