| NPI | 1790192979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA MILLER Owner/Administrator 407-219-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906686) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-07-19 |