| NPI | 1275987695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFFANIE JONES Administrator 904-353-1787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12816) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 12816) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL 12816) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |