| NPI | 1316281215 |
|---|---|
| Doing Business As | FOREST LAKE MANOR |
| Entity Type | Organization |
| Authorized Contact | ALAN DANIEL PARRISH Manager 904-543-1818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8869) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |