Organization
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Active
Other names
Robert H Jenkins Jr Veterans Domiciliary Home of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C PUCKETT (PROGRAM DIRECTOR)
(727) 518-3202
Entity
Organization
Contact information
Practice address
751 SE SYCAMORE TER, LAKE CITY, FL 32025-6216
(386) 758-0600
(386) 758-0549
Mailing address
751 SE SYCAMORE TER, LAKE CITY, FL 32025-6216
(386) 758-0600
(386) 758-0549
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7975
FL
Other
Enumeration date
08/19/2005
Last updated
08/09/2022
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