| NPI | 1952606519 |
|---|---|
| Doing Business As | BENTON HOUSE OF TITUSVILLE |
| Entity Type | Organization |
| Authorized Contact | SHELLEY BEVILLE Executive Director 321-383-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11575) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |