NPI | 1922396431 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLENE MILHOMME Administrator 863-578-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11530) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2015-04-16 |