| NPI | 1932499977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTA KOSZYK-WIELGUS Owner 386-437-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10381) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |