| NPI | 1821494295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BERNABE Manager 863-859-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10535) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |