Organization
SOME PLACE LIKE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA Y TIDWELL (CEO)
(904) 744-8580
Entity
Organization
Contact information
Practice address
1499 BASSETT RD, JACKSONVILLE, FL 32208-1559
(904) 766-8320
Mailing address
3930 NOVALINE LN, JACKSONVILLE, FL 32277-2247
(904) 744-8580
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12072
FL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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