| NPI | 1164663951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFETA L COLEMAN Owner 904-358-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11373) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |