| NPI | 1730610908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GAUDET Executive Director 863-687-0101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11751) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-03-17 |