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Individual

STEFFANIE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1473 W 14TH ST, JACKSONVILLE, FL 32209-4942
(904) 333-8820
Mailing address
1473 W 14TH ST, JACKSONVILLE, FL 32209-4942
(904) 333-8820

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
140728759
FL
3104A0625X
Assisted Living Facility (Mental Illness)
140728759
FL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
140728759
FL

Other

Enumeration date
03/29/2016
Last updated
04/14/2016
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