Paradise Retreat Assisted Living Facility Llc

NPI 1225385214 - Clinic/Center - 261QH0100X

NPI Details
NPI 1225385214
Enumeration Date 08/08/2012
Last Updated 08/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WARRENRINA LA'TARA WARRENRINA
Position OWNER/ ADMINISTRATOR
Phone (904) 551-5046
Fax (904) 551-5058
Practice Location
5626 SOUTEL DR
JACKSONVILLE FL, 32219-3772, US
Phone (904) 551-5046
Fax (904) 551-5058
Business Location
5626 SOUTEL DR
JACKSONVILLE FL, 32219-3772, US
Phone (904) 551-5046
Fax (904) 551-5058
Toxanomy
Taxonomy Code 261QH0100X
License State Florida
License Number AL12180
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According to our database, Paradise Retreat Assisted Living Facility Llc NPI is 1225385214, taxonomy code is 261QH0100X and license number is AL12180, license state is located at Florida. Paradise Retreat Assisted Living Facility Llc physically located at 5626 Soutel Dr, Jacksonville FL, 32219-3772. NPI Number 1033115704 has the healthcare provider type.

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1225385214 NPI number is provided on an as is basis without warranty of any kind. 1225385214 is maintained by the National Plan & Provider Enumeration System. The contents of Paradise Retreat Assisted Living Facility Llc are for informational purposes only.