| NPI | 1659857001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA REID Administrator 772-626-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13020) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |