| NPI | 1881963536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDA DELORIES LIVINGSTON Director Of Operations 863-683-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |