| NPI | 1609237163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DEOSARAN Owner 239-479-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12029) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |