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Organization

SOME PLACE LIKE HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA Y TIDWELL (CEO)
(904) 744-8580
Entity
Organization

Contact information

Practice address
4217 CHIPPEWA DR, JACKSONVILLE, FL 32210-6002
(904) 389-6735
Mailing address
3930 NOVALINE LN, JACKSONVILLE, FL 32277-2247
(904) 744-8580

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10089
FL

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
About Stedi
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  • EDI platform