| NPI | 1740617745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRINDA J BRASWELL Owner 321-914-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11827) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |