| NPI | 1265780274 |
|---|---|
| Doing Business As | SANJUAN RETIREMENT HOME |
| Entity Type | Organization |
| Authorized Contact | ELVIRA CHUA CHUA Administrator 904-374-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 12207) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |