| NPI | 1750389672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN LUTIRELL Administrator 954-473-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |