NPI | 1790027860 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA ROSE Owner/Administrator 321-327-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11342) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |