| NPI | 1275973034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA Y TIDWELL CEO 904-744-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9424) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |