| NPI | 1902149875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GEORRGES Manager 321-449-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10753) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |