| NPI | 1720406747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESTER NARINE Administrator 386-873-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12004) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |