| NPI | 1740799535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY L WOLFRUM Business Office Manager 407-767-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5315) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |