| NPI | 1174009021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L CEASOR CEO 850-273-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 372600000X Adult Companion | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |