| NPI | 1801238159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES JOAN LESLIE Owner 772-224-9746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9627) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |