| 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 |