| NPI | 1770948853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ROSE Administrator 321-693-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12741) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |