| NPI | 1679914741 |
|---|---|
| Former Legal Business Name | ALF |
| Entity Type | Organization |
| Authorized Contact | TISA FORTE Owner 772-878-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11368) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |