| NPI | 1962013482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA LEWIS-ANDERSON CEO 407-781-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |