| NPI | 1770927527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRINEA A MATTIS Administrator 954-839-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12156) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |