| NPI | 1659419497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW SHERBURNE V.P. Finance & Administration 904-636-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7201) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: FL AL7201) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |