| NPI | 1720402902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA RAMBERT Administrator 863-425-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12132) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 12132) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |