Organization
GOOD SHEPHERD RETIREMENT LLC
Active
Other names
Silver Treasures at Lane
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER CAPUYAN (OWNER)
(904) 343-0564
Entity
Organization
Contact information
Practice address
1769 LANE AVE S, JACKSONVILLE, FL 32210-1334
(904) 343-0564
Mailing address
1769 LANE AVE S, JACKSONVILLE, FL 32210-1334
(904) 343-0564
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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