| NPI | 1952644833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS JEAN ISAAC Administrator 407-704-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11563) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |