Organization
CRYSTAL MCFADDEN
Active
Other names
a loving adult family care home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL DENISE MCFADDEN (PROVIDER)
(904) 866-9216
Entity
Organization
Contact information
Practice address
3748 JULIET LEIA CIR S, JACKSONVILLE, FL 32218-2955
(904) 866-9216
Mailing address
3748 JULIET LEIA CIR S, JACKSONVILLE, FL 32218-2955
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906582
FL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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