| NPI | 1891198842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE CARLYLE Owner/Administratot 386-527-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12555) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |