NPI | 1902108418 |
---|---|
Doing Business As | ST. AUGUSTINE PLANTATION ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | MICHAEL SCOTT BROOKINS President 850-309-1982 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9149) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2010-12-03 |