| NPI | 1649572231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARY SELG Owner 727-817-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL 6665) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |