NPI | 1669639274 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA JEAN OBRIEN Pres Administrator 352-629-8990 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL53) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |