| NPI | 1639512098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J MATRAZZO COO 321-723-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL AL4788) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |