| NPI | 1730474420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM ANNETTE MCGILL Administrator 863-242-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11988) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |