| NPI | 1891038030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A NELSON Administrator 954-463-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6654) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL6654) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |