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Organization
STEPHANIE'S LOVE & CARE (ALF)
Active
Organization
STEPHANIE'S LOVE & CARE (ALF)
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L BELLAMY ASSISTED LIVING (OWNER/ADMINISTRATOR)
(904) 388-7086
Entity
Organization
Contact information
Practice address
3056 W 1ST ST, JACKSONVILLE, FL 32254-2539
(904) 388-7086
Mailing address
3056 W 1ST ST, JACKSONVILLE, FL 32254-2539
(904) 388-7086
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142571400
—
FL
01
—
1801198460
NPI
FL
Enumeration date
10/14/2014
Last updated
10/14/2014
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