| NPI | 1528403326 |
|---|---|
| Doing Business As | QUEEN OF ANGELS |
| Entity Type | Organization |
| Authorized Contact | PAULINE DYER President 904-708-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8379) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |