| NPI | 1902266216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MADDRON Sr Vice President 407-540-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA 2346) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |