| NPI | 1679739833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY STODDARDDANIELS Administrator 772-985-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11327) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |