| NPI | 1992131106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRINDA J BRASWELL Owner 321-914-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11644) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |