| NPI | 1790134310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M NOTZ Administrator 850-477-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12844) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2016-06-04 |