Organization
A1A - ARC OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN PARRISH (MANAGER)
(904) 394-2890
Entity
Organization
Contact information
Practice address
1241 ONSLOW PINES RD, JACKSONVILLE, NC 28540-4366
(910) 347-3092
(910) 347-5940
Mailing address
10752 DEERWOOD PARK BLVD STE 128, JACKSONVILLE, FL 32256-4848
(904) 394-2893
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310400000X
—
NC
Enumeration date
07/30/2019
Last updated
07/30/2019
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