| NPI | 1912728759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J PENNANT Owner 407-296-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |