| NPI | 1861825648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH DELORIS TOMLIN Administrator 954-865-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12386) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |