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 |