| NPI | 1952719486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA B WILSON Administrator 954-254-0159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL AL12535) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |