| NPI | 1972975605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS F GARRARD Owner 863-226-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12732) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2022-02-22 |