| NPI | 1679974646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNIA OSME Administrator 239-822-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12436) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |