| NPI | 1730574906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYON JONES Operations Manager 321-250-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL L15000044009) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |