NPI | 1144582461 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY JAQUES President, Rmi, Management Agent 386-774-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11742) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-06-12 |