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Organization
WILEY RETIREMENT HOME
Active
Organization
WILEY RETIREMENT HOME
Active
Other names
sanjuan retirement home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVIRA CHUA CHUA RN (ADMINISTRATOR)
(904) 374-2071
Entity
Organization
Contact information
Practice address
7024 WILEY RD, JACKSONVILLE, FL 32210-2736
(904) 374-2071
Mailing address
7024 WILEY RD, JACKSONVILLE, FL 32210-2736
(904) 374-2071
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
12207
FL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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