| NPI | 1639678139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE I HYPPOLITE-ALPHONSE Administrator 321-948-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906849) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |