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Organization
JRA ADULT FAMILY CARE HOME
Active
Organization
JRA ADULT FAMILY CARE HOME
Active
Other names
JRA ADULT FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALEX APOLLON (OWNER, ADMINISTRATOR)
(386) 931-9871
Entity
Organization
Contact information
Practice address
41 WOODLAWN DR, PALM COAST, FL 32164-7915
(386) 931-9871
Mailing address
41 WOODLAWN DR, PALM COAST, FL 32164-7915
(386) 931-9871
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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