| NPI | 1003223009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE' URSIN CEO/Director 904-860-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12521) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |