| NPI | 1578988044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JEAN BOWE Owner/Administrator 772-465-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11797) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |