| NPI | 1215793641 |
|---|---|
| Doing Business As | OAK MANOR SENIOR LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | KEVIN RYAN ROCKEFELLER CEO 904-422-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |