| NPI | 1790155950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A MILHOMME President 863-578-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |