NPI | 1154133296 |
---|---|
Doing Business As | THE PALISADES AT EWU |
Entity Type | Organization |
Authorized Contact | KENKENYANA ROBERTS CEO 904-610-5628 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2025-01-24 |
Last Update Date | 2025-01-24 |