| NPI | 1174853246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A. THOMAS Administrator 904-619-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11651) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |