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Organization
ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC
Active
Organization
ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC
Active
Other names
St. Philomena Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS LASHLEY RODGERS (OWNER)
(904) 470-9965
Entity
Organization
Contact information
Practice address
3943 ELDRIDGE AVE, ORANGE PARK, FL 32073-2128
(904) 470-9965
Mailing address
5520 KILKEE CT, JACKSONVILLE, FL 32244-6259
(904) 470-9965
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12632
FL
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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