Organization
BARAK HOUSE ALF
Active
Parent organization
KR2 ENTERPRISES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KR2 ENTERPRISES LLC
Authorized official
STEFFANIE JONES (ADMINISTRATOR)
(904) 353-1787
Entity
Organization
Contact information
Practice address
1473 W 14TH ST, JACKSONVILLE, FL 32209-4942
(904) 353-8820
Mailing address
1473 W 14TH ST, JACKSONVILLE, FL 32209-4942
(904) 353-8820
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12816
FL
3104A0625X
Assisted Living Facility (Mental Illness)
12816
FL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
12816
FL
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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