| NPI | 1215353370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMMEL PAR DELEON Administrator 904-725-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL5360) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |