| NPI | 1770931214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN LARIVIERE Administrator Lowner 941-966-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |