| NPI | 1689012759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHOANE LALEAU Administrator 321-266-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12239) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |