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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