Organization
CAROLYN CLANTON ALF LLC
Active
Other names
Carolyn Clanton ALF LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER N DAVIS (ADMINISTRATOR/OWNER)
(386) 855-1357
Entity
Organization
Contact information
Practice address
1146 HAMILTON AVE, JENNINGS, FL 32053-2253
(386) 938-4102
Mailing address
1146 HAMILTON AVE, JENNINGS, FL 32053-2253
(229) 300-5469
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
04/28/2022
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