| NPI | 1619741063 |
|---|---|
| Doing Business As | TIFFANY ON THE RIVER |
| Entity Type | Organization |
| Authorized Contact | SANDRA VENORD DORVAL Owner/Administrator 321-947-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |