Organization
GROWN FOLKS ADULT SOCIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BURNEY (PRESIDENT)
(904) 329-3503
Entity
Organization
Contact information
Practice address
1823 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8930
(904) 329-3503
(904) 329-3505
Mailing address
1823 UNIVERSITY BLVD. S., JACKSONVILLE, FL 32216-8930
(904) 329-3503
(904) 329-3505
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
9196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004757200
—
FL
Enumeration date
08/09/2012
Last updated
08/09/2012
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