| NPI | 1578806519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE WILBORN Owner/Administrator 321-288-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ALF11011) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |