| NPI | 1740625359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILFRED JOSEPH Owner 352-484-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 12359) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |