| NPI | 1912582172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES DENISE SHULER-ROWLS Owner 850-510-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-03-04 |