| NPI | 1881828424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE M STROTHER Administrator 561-541-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |