| NPI | 1184088692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A SINGLETON Administrator 850-509-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906832) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |