| NPI | 1619329422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENITA BUCHANAN Administrator/Owner 321-984-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12837) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |