Organization
JACOB'S LADDER III FAMILY ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WARNER (OWNER)
(321) 890-5314
Entity
Organization
Contact information
Practice address
1504 S FISKE BLVD, ROCKLEDGE, FL 32955-2515
(321) 890-5314
(888) 908-2791
Mailing address
1504 S FISKE BLVD, ROCKLEDGE, FL 32955-2515
(321) 890-5314
(888) 908-2791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11968748
FL
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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