| NPI | 1407283112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFFIE JONES CEO 904-503-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906606) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |