| NPI | 1801223854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CLINE Administrator 386-451-5923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9574) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |