| NPI | 1285066134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ROBINSON Owner/Adminisrator 850-702-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12330) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |