Organization
PARKSIDE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHEY T PITTS (ADMINISTRATOR)
(904) 964-2220
Entity
Organization
Contact information
Practice address
329 N CHURCH ST, STARKE, FL 32091-3434
(904) 964-2220
(904) 964-2220
Mailing address
329 N CHURCH ST, STARKE, FL 32091-3434
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10278
FL
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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