Organization
JBS ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENETH GUTING (OWNER/ADMINISTRATOR)
(904) 602-5389
Entity
Organization
Contact information
Practice address
2718 SHENANDOAH DR S, ORANGE PARK, FL 32073-6628
(904) 602-5389
Mailing address
2718 SHENANDOAH DR S, ORANGE PARK, FL 32073-6628
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906875
FL
Other
Enumeration date
01/13/2017
Last updated
03/14/2017
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