| NPI | 1861896284 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BELLAMY Owner/Administrator 904-388-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10793) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |