| NPI | 1114337763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFEESAH MUJAHID Administrator 850-322-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906664) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |