Organization
4 JS INC
Active
Other names
Woodcrest Manor ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILDA F RIVERA BSMT (PRESIDENT)
(727) 686-4223
Entity
Organization
Contact information
Practice address
1735 JEFFORDS ST, CLEARWATER, FL 33756-4560
(727) 447-8558
(727) 447-8558
Mailing address
1735 JEFFORDS ST, CLEARWATER, FL 33756-4560
(727) 447-8558
(727) 447-8558
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5034
FL
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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