| NPI | 1871836908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE G LAIDLAW Owner/Administrator 321-951-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: FL 6905399) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |