| NPI | 1588014047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATISH BADDAM Managing Member 904-375-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12803) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |