| NPI | 1497107437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONYE JOE NDUKA Administration 904-716-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12738) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |