Organization · NPI-2

4 Js INC

Assisted Living Facility · Clearwater, FL

NPI number1619964608
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1619964608
Entity type
Organization (NPI-2)
Legal business name
4 Js INC
Organization subpart
No
Enumeration date
Oct 4, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility5034FLYes

Other names

  • Woodcrest Manor Alf (Doing Business As)

Practice location

1735 Jeffords St
Clearwater, FL 33756-4560

Phone 727-447-8558 · Fax 727-447-8558

Mailing address

1735 Jeffords St
Clearwater, FL 33756-4560

Phone 727-447-8558 · Fax 727-447-8558

Authorized official

Nilda F Rivera
President
7276864223

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