| NPI | 1730621590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILENE CHARLEMONT PIERRE Assitant Director Of Nursing 863-618-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL RN9313465) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |