A Home Sweet Home Alf Of Jax, INC.
Assisted Living Facility in Jacksonville, FL. Organization (NPI-2).
NPI number1508239047
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1508239047
- Entity type
- Organization (NPI-2)
- Legal business name
- A Home Sweet Home Alf Of Jax, INC.
- Organization subpart
- No
- Enumeration date
- Nov 5, 2015
- Last updated
- Nov 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | FL | Yes |
Practice location
6838 Medellin CtJacksonville, FL 32210-4922
Phone 904-772-0651 · Fax 904-438-5726
Mailing address
6838 Medellin CtJacksonville, FL 32210-4922
Phone 904-772-0651 · Fax 904-438-5726
Authorized official
Lanisha J Holloway
Administrator/Owner
9047720651
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