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Organization

EJ'S PLACE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA LEVAL GRIFFIN (ADMINISTRATOR)
(904) 317-8961
Entity
Organization

Contact information

Practice address
5045 DONCASTER AVE, JACKSONVILLE, FL 32208-1699
(904) 766-3700
Mailing address
5210 WITBY AVE, JACKSONVILLE, FL 32210-7128
(904) 317-8961

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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