| NPI | 1780131276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G KERN President 352-513-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 41679) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |