| NPI | 1689089732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GOPAL KANHAI Administrator 772-971-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12524) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-08-14 |