Organization
HENDRIX, SMITH, & KIRBY LLC D/B/A EASTSIDE CARE ALF
Active
Other names
Eastside Care, ALF
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MURPHY (REGIONAL AREA ADMINISTRATOR)
(386) 688-9318
Entity
Organization
Contact information
Practice address
152 SE DEFENDER DR, LAKE CITY, FL 32025-4990
(386) 755-4487
Mailing address
152 SE DEFENDER DR, LAKE CITY, FL 32025-4990
(386) 755-4487
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108713000
—
FL
05
—
111674400
—
FL
05
—
142186700
—
FL
Enumeration date
03/14/2014
Last updated
02/14/2022
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