Jax Senior Care LLC
Assisted Living Facility in Ponte Vedra, FL. Organization (NPI-2).
NPI number1982206645
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1982206645
- Entity type
- Organization (NPI-2)
- Legal business name
- Jax Senior Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Silver Treasures At Ponte Vedra (Doing Business As)
Practice location
119 Da Vinci BlvdPonte Vedra, FL 32081-8821
Phone 904-326-0900 · Fax 904-326-0913
Mailing address
119 Da Vinci BlvdPonte Vedra, FL 32081-8821
Phone 904-326-0900 · Fax 904-326-0913
Authorized official
James Daniel Fischer
Administrator
9043260900
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