| NPI | 1649718511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LISENA JACQUES Onwer/Administrator 321-265-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12962) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |