| NPI | 1912267824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IONA MINTO Owner 321-458-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11305) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL 11834) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |