| NPI | 1316570609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MARTIN JACKSON Owner 850-728-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2023-08-10 |