| NPI | 1902447527 |
|---|---|
| Doing Business As | THE CANOPY AT HARPER LAKE |
| Entity Type | Organization |
| Authorized Contact | MICAH LINTON Owner 904-240-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-11-08 |