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Organization
ARLINGTON HAVEN
Active
Organization
ARLINGTON HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MALDONADO (ADMINISTRATOR)
(904) 743-9069
Entity
Organization
Contact information
Practice address
6320 ARLINGTON RD, JACKSONVILLE, FL 32211-5430
(904) 743-9069
(904) 743-3584
Mailing address
6320 ARLINGTON RD, JACKSONVILLE, FL 32211-5430
(904) 743-9069
(904) 743-3584
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL8958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141157800
—
FL
Enumeration date
07/28/2014
Last updated
07/28/2014
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