Organization
ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC
Active
Other names
St. Philomena Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS LASHLEY RODGERS (OWNER)
(904) 470-9965
Entity
Organization
Contact information
Practice address
3943 ELDRIDGE AVE, ORANGE PARK, FL 32073-2128
(904) 470-9965
Mailing address
5520 KILKEE CT, JACKSONVILLE, FL 32244-6259
(904) 470-9965
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12632
FL
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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