| NPI | 1538367388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMEKA BRUCE Owner Administrator 850-241-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11966958) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |