| NPI | 1881020550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL SUMERGIDO Owner/Administrator 386-793-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9356) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |