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Organization

FSL JAX BEACH TENANT LLC.

Active
Other names
Beach House Assisted Living and Memory Care
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE DAWN CRAYTON (PROJECT MANAGER)
(417) 877-1717
Entity
Organization

Contact information

Practice address
1315 2ND AVE N, JACKSONVILLE BEACH, FL 32250-3694
(904) 829-6479
Mailing address
1240 E INDEPENDENCE ST STE 200, SPRINGFIELD, MO 65804-4201
(417) 877-1717

Taxonomy

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

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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