Organization
ORANGE PARK ASSISTED LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE JENKINS (OWNER/ADMINISTRATOR)
(904) 673-1419
Entity
Organization
Contact information
Practice address
2485 RIDGECREST AVE, ORANGE PARK, FL 32065-6236
(904) 276-6644
(904) 276-6644
Mailing address
2485 RIDGECREST AVE, ORANGE PARK, FL 32065-6236
(904) 276-6644
(904) 276-6644
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12390
FL
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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