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Organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Active
Organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Active
Parent organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY LLC
Other names
Young Hearts Extended Assisted Living Facility II
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY LLC
Authorized official
MS. NIKITA L JENKINS RN (ADMINISTRATOR)
(904) 769-1122
Entity
Organization
Contact information
Practice address
329 N CHURCH ST, STARKE, FL 32091-3434
(904) 769-1122
(206) 844-9037
Mailing address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
(206) 844-9037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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