Organization
FRIENDS AND ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AGELET ST-HUBERT (OWNER/PROVIDER)
(904) 554-6051
Entity
Organization
Contact information
Practice address
764 AQUA SURF CT, JACKSONVILLE, FL 32225-0802
(904) 554-6051
(904) 361-3235
Mailing address
764 AQUA SURF CT, JACKSONVILLE, FL 32225-0802
(904) 554-6051
(904) 361-3235
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906276
FL
Other
Enumeration date
11/10/2008
Last updated
04/03/2012
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