| NPI | 1194174912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MAULION DOCTOR Owner/Administrator 904-695-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12841) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-08-02 |