| NPI | 1598978223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A TOLAN Owner Administrator 386-717-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 7585) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |