| NPI | 1700221959 |
|---|---|
| Doing Business As | SUSIE'S HOME |
| Entity Type | Organization |
| Authorized Contact | JUNICHI OBAMA CEO 386-437-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12354) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-22 |