Organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Active
Parent organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Authorized official
NIKITA JENKINS RN (ADMINISTRATOR)
(904) 769-1122
Entity
Organization
Contact information
Practice address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
(206) 844-9037
Mailing address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
(206) 844-9037
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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