| NPI | 1942697420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LAURA COLE Adminstrator 321-543-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11805) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |