NPI | 1730445156 |
---|---|
Entity Type | Organization |
Authorized Contact | NADEGE TROTTER Administrator 321-297-5937 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10941) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL 11783) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-04-10 |