# ANNIE CAROL MONROE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003244823
- **Authorized official:** ANNIE CAROL MONROE (OWNER)
- **Authorized official phone:** (904) 783-9448

## Contact information

- **Practice address:** 8372 COUNTRY CREEK BLVD, JACKSONVILLE, FL 32221-6685
- **Practice address phone:** (904) 783-9448
- **Mailing address:** 8372 COUNTRY CREEK BLVD, JACKSONVILLE, FL 32221-6685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2013
- **Last updated:** 10/15/2013