| NPI | 1639578933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALAINE F CATE Business Office Manager 904-374-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12207) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |