Organization
HIDING PLACE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA JARRETT (OWNER)
(904) 608-1245
Entity
Organization
Contact information
Practice address
1444 E 26TH ST, JACKSONVILLE, FL 32206-2505
(904) 608-1245
Mailing address
1444 E 26TH ST, JACKSONVILLE, FL 32206-2505
(904) 608-1245
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001596400
—
FL
Enumeration date
04/25/2013
Last updated
04/25/2013
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