| NPI | 1700078110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO VAN KLEECK Administrator 863-471-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10086) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |