NPI | 1710154497 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET PHARO Administrator 772-287-9909 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8963) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |