| NPI | 1720409436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICA MOTT Owner 407-886-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL5053) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |