| NPI | 1669893905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MITCHELL Treasurer 772-492-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9503) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |