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Organization

ST JOHNS WELFARE FEDERATION

Active
Other names
The Pavilion Assisted Living Facility
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE EDWARDS (RESIDENT ACCOUNTS SUPERVISOR)
(904) 584-1563
Entity
Organization

Contact information

Practice address
161B MARINE ST, ST AUGUSTINE, FL 32084-5104
(904) 829-3780
(904) 829-2740
Mailing address
161A MARINE ST, ST AUGUSTINE, FL 32084-5154
(904) 829-3475
(904) 808-9918

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9470
FL

Other

Enumeration date
11/02/2013
Last updated
11/02/2013
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