| NPI | 1356714414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MAE ARIAS Administrator 904-602-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12749) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |