| NPI | 1932626751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ELAINE GREENE Administrator 904-389-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11369) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |