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 |