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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