| NPI | 1003118902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA JEAN LINDER Provider 904-764-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL AF6905368) |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2010-11-27 |