NPI | 1972807881 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH E HINES Assistant Administrator 850-484-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8864) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2011-01-06 |