| NPI | 1346557808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BELL Executive Officer/ Manager 850-464-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: FL 231514) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |