Organization
PREMIER ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF GAYED ANDRAWIS MD (OWNER)
(904) 451-5570
Entity
Organization
Contact information
Practice address
319 ELDRIDGE AVE, ORANGE PARK, FL 32073-2956
(904) 541-4605
(904) 644-8378
Mailing address
138 PASSAGE DR, FLEMING ISLAND, FL 32003-8077
(904) 451-5570
(904) 644-8378
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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