| NPI | 1588000350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE AVERY Owner 904-353-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL05390) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |