| NPI | 1831620368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN I. KORNEGAY Administrative Director 407-951-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12479) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |