Organization
OBI'S ADULT FAMILY CARE LLC
Active
Parent organization
OBI'S ADULT FAMILY CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OBI'S ADULT FAMILY CARE, LLC
Authorized official
MAKAELA OBI (OWNER)
(904) 728-7474
Entity
Organization
Contact information
Practice address
3130 KINGSTON ST, JACKSONVILLE, FL 32254-2524
(904) 728-7474
Mailing address
3130 KINGSTON ST, JACKSONVILLE, FL 32254-2524
(904) 728-7474
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6906906
—
FL
Enumeration date
04/11/2018
Last updated
04/11/2018
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