| NPI | 1649699265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN J SIMONE Administrator 321-223-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10561) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-05-21 |