| NPI | 1346440088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DANIEL PARRISH Manager 904-543-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL#9976) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |