NPI | 1861765950 |
---|---|
Entity Type | Organization |
Authorized Contact | CECILIA VERNEL CLAXTON Owner/Administrator 321-987-1524 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12039) |
Enumeration Date | 2012-02-20 |
Last Update Date | 2012-02-20 |