| NPI | 1902389927 |
|---|---|
| Doing Business As | ACTIVE CARE ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL PATTERSON Owner/Administrator 321-948-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |