| NPI | 1689019556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO GOMEZ Owner/Administrator 904-724-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7884) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |