Organization
NORTH FLORIDA SENIOR LIVING LLC
Active
Organization
NORTH FLORIDA SENIOR LIVING LLC
Active
Other names
North Florida Senior Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVGENY CHERNYAK (VICE PRESIDENT)
(904) 635-6081
Entity
Organization
Contact information
Practice address
541103 LEM TURNER RD, CALLAHAN, FL 32011-8546
(904) 635-6081
Mailing address
614 BOWLES CT, NEPTUNE BEACH, FL 32266-3602
(904) 635-6081
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/06/2021
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