| NPI | 1649535311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN LOUISE MILLS Administrator 904-635-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12100) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |