| NPI | 1508502618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN DENTON Administrator 904-766-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |