Organization
CLASSY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GARNETT (OWNER)
(904) 716-8376
Entity
Organization
Contact information
Practice address
5714 PLUM HOLLOW DR W, JACKSONVILLE, FL 32222-1373
(904) 716-8376
Mailing address
5714 PLUM HOLLOW DR W, JACKSONVILLE, FL 32222-1373
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11355
FL
385H00000X
Respite Care
AL11355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29396
—
FL
Enumeration date
12/10/2008
Last updated
12/10/2008
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