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Organization
AUTUMN VILLAGE, INC.
Active
Organization
AUTUMN VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRA CARPENTER (DIRECTOR OF ADMISSIONS)
(904) 384-7506
Entity
Organization
Contact information
Practice address
1103 BARRS STREET, JACKSONVILLE, FL 32204
(904) 384-7506
(904) 384-7279
Mailing address
1103 BARRS ST, JACKSONVILLE, FL 32204-4220
(904) 384-7506
(904) 384-7279
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5221
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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