| NPI | 1588785059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON C LOGUE Administrator 239-369-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL4845) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |