| NPI | 1841557931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DENISE KNABLE Administrator 321-208-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11613) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |