| NPI | 1831640515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHITRA CHALLA Owner /Manager 352-209-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12557) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |