| NPI | 1053656199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA CHUA DEMDAM Alf Administrator 904-695-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL 9587) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |