Organization
KJCARES SUPORTIVE LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROBERTS (OWNER/DIRECTOR)
(904) 293-6757
Entity
Organization
Contact information
Practice address
20 FIRST STREET, APT 5, ST. AUGUSTINE, FL 32084
(904) 293-6757
Mailing address
20 FIRST STREET, APT 5, ST. AUGUSTINE, FL 32084
(904) 293-6757
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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