Organization
LOVING CARE LIVING FACILITY INCORPORATED
Active
Other names
Loving Care Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J JACKSON II M.P.A. (BUSINESS MGR/OWNER)
(904) 824-6616
Entity
Organization
Contact information
Practice address
76 BRUEN ST, ST AUGUSTINE, FL 32084-3406
(904) 824-6616
(904) 797-7440
Mailing address
PO BOX 588, ST AUGUSTINE, FL 32085-0588
(904) 824-6616
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8149
FL
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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