| NPI | 1891032868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA DEMDAM Alf Administrator 904-695-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL 9587) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |