| NPI | 1578639654 |
|---|---|
| Doing Business As | DBA INDIAN RIVER RETIREMENT COMMUNITY, LLC |
| Entity Type | Organization |
| Authorized Contact | GUY S PIERCE Managing Member 336-595-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |