| NPI | 1285077248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINDA JENIPHER WILEY President 904-891-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12321) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |