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Organization

A PREMIER LIVING CARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA AVERY (CEO)
(904) 485-0978
Entity
Organization

Contact information

Practice address
1853 BROADWAY AVE, JACKSONVILLE, FL 32209-7507
(904) 485-0978
Mailing address
4720 SALISBURY RD, JACKSONVILLE, FL 32256-6101
(904) 485-0978

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/31/2023
Last updated
10/15/2025
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