| NPI | 1720276314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA D WALKER Owner 904-635-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 050000247) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |