NPI | 1427547025 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE TUCKER Chief Executive Officer 850-766-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13081) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |