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Organization

STEPHANIE'S LOVE & CARE (ALF)

Active
Other names
na
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE L BELLAMY ASSISTED LIVING (OWNER/ADMINISTRATOR)
(904) 388-7086
Entity
Organization

Contact information

Practice address
3056 W 1ST ST, JACKSONVILLE, FL 32254-2539
(904) 388-7086
Mailing address
3056 W 1ST ST, JACKSONVILLE, FL 32254-2539
(904) 388-7086

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10793
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142571400
FL
01
1801198460
NPI
FL
Enumeration date
10/14/2014
Last updated
10/14/2014
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