Organization
WILEY RETIREMENT HOME
Active
Other names
sanjuan retirement home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVIRA CHUA CHUA RN (ADMINISTRATOR)
(904) 374-2071
Entity
Organization
Contact information
Practice address
7024 WILEY RD, JACKSONVILLE, FL 32210-2736
(904) 374-2071
Mailing address
7024 WILEY RD, JACKSONVILLE, FL 32210-2736
(904) 374-2071
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
12207
FL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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