| NPI | 1881940542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE THELOT Administrator 954-722-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10720) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |