Organization
SILVER SHORES LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARFIELD ST. AUBURN KNIGHT (VICE PRESIDENT)
(904) 683-1580
Entity
Organization
Contact information
Practice address
2317 GILMORE ST, JACKSONVILLE, FL 32204-3119
(904) 683-1580
(904) 683-2013
Mailing address
2317 GILMORE ST, JACKSONVILLE, FL 32204-3119
(904) 683-1580
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018329800
—
FL
01
—
AL12806
AGENCY FOR HEALTHCARE ADMINISTRATION (ALF LICENSE)
FL
Enumeration date
09/20/2017
Last updated
07/21/2022
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