| NPI | 1326871369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES NICOLE HARDIN Executive Director 904-380-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |