| NPI | 1669871083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA RICHARDSON Owner/Adm 863-223-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: FL 6906614) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-27 |