| NPI | 1619220324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHOANE EUNICE LALEAU Administrator 321-266-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12239) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |