| NPI | 1881952844 |
|---|---|
| Doing Business As | LAFETA COLEMAN |
| Entity Type | Organization |
| Authorized Contact | LAFETA W COLEMAN Administrator 904-355-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12117) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |