| NPI | 1639648603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA GRIGORYAN Administrator 904-707-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-12-27 |