| NPI | 1376741124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAMESON MARSH MITCHELL Administrator 386-238-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9261) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: FL AL9261) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |