| NPI | 1821430786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEERASAMY VEERAMAH Administrator 904-379-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12082) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2013-07-20 |