| NPI | 1104332188 |
|---|---|
| Doing Business As | TIKI STAFFORD |
| Entity Type | Organization |
| Authorized Contact | TIKI STAFFORD Administartor 904-233-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AL11189) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |