| NPI | 1821406950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK MILANO Vice President 386-788-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 9589) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |