| NPI | 1821060765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELE KERN MENDHI Administrator 904-276-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 9828) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2011-03-15 |