| NPI | 1578993127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMELA OWENS President 386-428-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al11914) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |