| NPI | 1407291503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS ROSE Owner/Administrator 904-874-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10443) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |