| NPI | 1891163481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY HAYES WILLIAMS Administrator 772-501-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12721) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2015-09-13 |