| NPI | 1790294742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS FABIAN JAVIER Administrator 407-453-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12944) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |