Organization
MYRTICE ANGELS SENIOR HOME CARE LLC.
Active
Other names
Lafeta Coleman
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAFETA W COLEMAN (ADMINISTRATOR)
(904) 355-9737
Entity
Organization
Contact information
Practice address
2570 VERNON ST., JACKSONVILLE, FL 32209
(904) 355-9737
(904) 358-3933
Mailing address
1061 DIVISION ST., JACKSONVILLE, FL 32209
(904) 355-9737
(904) 358-3933
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12117
FL
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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