| NPI | 1750702783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC R THELOT Assistant Administrator 954-661-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11220) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |