| NPI | 1689003394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYNN DARLENE HOLTON Risk Manager 863-245-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10203) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2013-11-03 |