| NPI | 1851728083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE F, REYNOLDS Owner/Administrator 772-359-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 11731) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |