| NPI | 1992290134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALAGUEL MEVOICY Admin 321-872-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-08-11 |