| NPI | 1144860206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WILLIAMS Director 904-861-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |