| NPI | 1285077214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO M DOCTOR Owner/Administrator 904-765-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10423) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |