| NPI | 1700312063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMMACULEE DORVILLE Owner 407-496-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12912) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |