| NPI | 1922479328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUTHO BONZIL Manager 321-442-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906754) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |