| NPI | 1932610508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATIESHA STEWART REISNER Mgr 954-394-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13051) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |