| NPI | 1659118784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA CRAWFORD Owner 321-245-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X Meals |
| 310400000X Assisted Living Facility | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |