| NPI | 1669759015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA LATOYA GIST Administrator 407-948-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |