NPI | 1760852552 |
---|---|
Entity Type | Organization |
Authorized Contact | ICYLIN DOUGLAS Administrator 772-777-4463 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12708) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |