| NPI | 1639568025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA MAE LEMON Administrator 727-896-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL Al8966) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |