| NPI | 1891365086 |
|---|---|
| Doing Business As | ST CLOUD HAVEN ALF |
| Entity Type | Organization |
| Authorized Contact | SUNEET GOYAL CEO 904-800-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-12-27 |