| NPI | 1811232259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI MASON Administrator/Owner 904-566-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al12198) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |