| NPI | 1700126315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTHEIL VERONICA FRECKLETON Administrator 954-792-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906123) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |