| NPI | 1033354659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GARNETT Owner 904-716-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11355) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL AL11355) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |