| NPI | 1992056873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANNE WAHLSTROM Exectuvie Director 239-353-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AD8750) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |