| NPI | 1831448174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIENE CORNETTA MOORE Administrator 321-368-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12240) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2013-02-03 |