| NPI | 1538595657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JENKINS Owner/Administrator 904-673-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12390) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |