Organization
JRA ADULT FAMILY CARE HOME
Active
Other names
JRA ADULT FAMILY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALEX APOLLON (OWNER, ADMINISTRATOR)
(386) 931-9871
Entity
Organization
Contact information
Practice address
41 WOODLAWN DR, PALM COAST, FL 32164-7915
(386) 931-9871
Mailing address
41 WOODLAWN DR, PALM COAST, FL 32164-7915
(386) 931-9871
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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