| NPI | 1730331513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CROOKS Administrator 321-506-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11340) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |