Organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY, LLC
Active
Parent organization
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY LLC
Other names
Young Hearts In-Home Senior Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY LLC
Authorized official
MS. NIKITA JENKINS RN (ADMINISTRATOR)
(904) 769-1122
Entity
Organization
Contact information
Practice address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
Mailing address
1410 NE 219TH ST, LAWTEY, FL 32058-4387
(904) 769-1122
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/26/2021
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