Organization
HOME SWEET HOME AT HOGAN LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS ROSE (OWNER/ADMINISTRATOR)
(904) 874-8182
Entity
Organization
Contact information
Practice address
1307 HOGAN LN, JACKSONVILLE, FL 32221-6616
(904) 783-6473
(904) 783-6473
Mailing address
1307 HOGAN LN, JACKSONVILLE, FL 32221-6616
(904) 783-6473
(904) 783-6473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10443
FL
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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