| NPI | 1972852762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE E STEWART Administrator 754-235-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10788) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |