| NPI | 1477395036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA EMMA PANGILINAN Licensee/Administrator 904-762-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |