Organization
PEABODY ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MAULION DOCTOR SR. (OWNER/ADMINISTRATOR)
(904) 695-2967
Entity
Organization
Contact information
Practice address
1309 PEABODY DR E, JACKSONVILLE, FL 32221-1291
(904) 695-2967
Mailing address
1309 PEABODY DR E, JACKSONVILLE, FL 32221-1291
(904) 695-2967
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12841
FL
Other
Enumeration date
06/13/2016
Last updated
08/02/2023
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