| NPI | 1386013589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA WESTBROOKS Owner/Administrator 850-607-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12413) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |