| NPI | 1518197912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN WALTHOUR Administrator/Owner 904-353-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9304) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |