| NPI | 1992972251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ACEVEDO Administrator 772-626-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al10876) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |