| NPI | 1447554910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MORALES Administrator 904-384-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5228) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |