Aging Grace LLC
Assisted Living Facility in Jacksonville, FL. Organization (NPI-2).
NPI number1013397850
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1013397850
- Entity type
- Organization (NPI-2)
- Legal business name
- Aging Grace LLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2015
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL12669 | FL | Yes |
Other names
- The Inn At Aging Grace (Doing Business As)
Practice location
2408 Soutel DrJacksonville, FL 32208-5512
Phone 904-237-0206
Mailing address
2408 Soutel DrJacksonville, FL 32208-5512
Phone 904-505-1572
Authorized official
Corey Lennard Bradford
Owner
9045051572
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