Organization
OBI'S ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKAELA OBI (OWNER)
(904) 728-7474
Entity
Organization
Contact information
Practice address
2122 N MYRTLE AVE, JACKSONVILLE, FL 32209-5633
(904) 728-7474
Mailing address
2122 N MYRTLE AVE, JACKSONVILLE, FL 32209-5633
(904) 728-7474
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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