| NPI | 1700211794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY BEVERLY THORPE Administator/Owner 754-368-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12113) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |