| NPI | 1114326410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALAINE F. CATE Business Office Manager 904-695-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9587) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-25 |