| NPI | 1972807071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN POWERS SALVATO RN/Owner/Adm 772-285-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10988) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |