| NPI | 1942669106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BROWN President 772-206-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 311ZA0620X) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |