| NPI | 1629460761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR R DE JESUS Physical Therapist Assistant 407-201-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL PTA 24415) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |