Washington Adult Family Care Home

NPI 1578969689 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1578969689
Enumeration Date 11/17/2014
Last Updated 11/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ETHEL P. ETHEL
Position OWNER
Phone (904) 355-2031
Fax (904) 355-8985
Practice Location
1963 W 17TH ST
JACKSONVILLE FL, 32209-4775, US
Phone (904) 355-2031
Fax (904) 355-8985
Business Location
1963 W 17TH ST
JACKSONVILLE FL, 32209-4775, US
Phone (904) 355-2031
Fax (904) 355-8985
Toxanomy
Taxonomy Code 311ZA0620X
License State Florida
License Number 6905691
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According to our database, Washington Adult Family Care Home NPI is 1578969689, taxonomy code is 311ZA0620X and license number is 6905691, license state is located at Florida. Washington Adult Family Care Home physically located at 1963 W 17th St, Jacksonville FL, 32209-4775. NPI Number 1033115704 has the healthcare provider type.

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1578969689 NPI number is provided on an as is basis without warranty of any kind. 1578969689 is maintained by the National Plan & Provider Enumeration System. The contents of Washington Adult Family Care Home are for informational purposes only.