| NPI | 1285068908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CORBETT GRANGER II Owner/Administrator 904-755-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12338) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |