Organization
ACACIA GROVE ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MAE ARIAS RN (ADMINISTRATOR)
(904) 602-5550
Entity
Organization
Contact information
Practice address
2485 RIDGECREST AVE, ORANGE PARK, FL 32065-6236
(904) 602-5550
Mailing address
2485 RIDGECREST AVE, ORANGE PARK, FL 32065-6236
(904) 602-5550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12749
FL
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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