| NPI | 1801776661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DORELIEN Manager 941-807-9657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |