| NPI | 1598188021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J DANA Administrator/Owner 321-499-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12428) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |