Organization
AVERYS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE AVERY (OWNER)
(904) 353-0772
Entity
Organization
Contact information
Practice address
134 W 23RD ST, JACKSONVILLE, FL 32206-2016
(904) 353-0772
Mailing address
134 W 23RD ST, JACKSONVILLE, FL 32206-2016
(904) 353-0772
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL05390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140143200
—
FL
Enumeration date
05/20/2013
Last updated
05/20/2013
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