Agelet St.Hubert, AFCH Provider
Custodial Care Facility, Adult Care Home in Jacksonville, FL. Individual provider (NPI-1).
NPI number1942857230
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1942857230
- Entity type
- Individual (NPI-1)
- Name
- Agelet St.Hubert
- Credential
- AFCH Provider
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906603 | FL | Yes |
Practice location
764 Aqua Surf CtJacksonville, FL 32225-0802
Phone 904-554-6051
Mailing address
764 Aqua Surf CtJacksonville, FL 32225-0802
Phone 904-554-6051 · Fax 866-373-1832
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All 39 Adult Care Home Facility providers in Jacksonville · All 31,644 providers in Jacksonville
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