| NPI | 1609120864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDA SUKHU-GAFOOR Administrator 407-857-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12251) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |