| NPI | 1740818475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYLANDA DENISE POWELL Executive Director 386-349-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-06-24 |