| NPI | 1447697628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE JACKSON Director Of Operation 904-356-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8638) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |