NPI | 1790051613 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN M ANDERSON Manager 352-378-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12142) |
Enumeration Date | 2012-03-25 |
Last Update Date | 2012-03-25 |