| NPI | 1790274868 |
|---|---|
| Doing Business As | SOUTHERN LIVING FOR SENIORS |
| Entity Type | Organization |
| Authorized Contact | KENNETH MARK SIMONS Managing Member 850-259-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |