| NPI | 1417482654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE SAWYER Administrator 904-887-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12997) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |