NPI | 1770811473 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA GILCHRIST Administrator 772-519-2061 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al11332) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-12-03 |