Organization
MIDDLEBURG ASSISTED LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE JENKINS (ADMINISTRATOR)
(904) 291-1632
Entity
Organization
Contact information
Practice address
4192 CLOVE ST, MIDDLEBURG, FL 32068-6100
(904) 673-1419
Mailing address
4192 CLOVE ST, MIDDLEBURG, FL 32068-6100
(904) 673-1419
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11083
FL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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