| NPI | 1720282288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON BURIAS Administrator 239-574-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6601) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-07-03 |