| NPI | 1871835165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH AARON KRODEL Manager 321-449-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11568) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |