Organization
JBA SVCS INC D/B/A IMMACULATE HOUSE AT COUNTRYSIDE
Active
Parent organization
JBA SVCS INC D/B/A FOREST HILLS HOME AT PALM HARBOR
Other names
Forest Hills Home at Palm Harbor
Organization subpart
Yes
Provider details
NPI number
Legal business name
JBA SVCS INC D/B/A FOREST HILLS HOME AT PALM HARBOR
Authorized official
MS. JOANNE BOCK-ACKERMAN AHCA ALF ADMIN. (ALF ADMINISTRATOR)
(727) 934-4310
Entity
Organization
Contact information
Practice address
2542 COUNTRYSIDE PINES DR, CLEARWATER, FL 33761-4921
(727) 934-4310
(727) 943-2075
Mailing address
3823 PENDLEBURY DR, PALM HARBOR, FL 34685-2670
(727) 934-4310
(727) 943-2075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 11233
FL
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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