| NPI | 1376890301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BURNEY President 904-329-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 9196) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |