Organization
PATRICIA JONES ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JONES I (ADMINISTRATOR/CNA/BS)
(321) 676-1714
Entity
Organization
Contact information
Practice address
207 OLIVICK CIR NE, PALM BAY, FL 32907-1136
(321) 676-1714
(321) 676-1714
Mailing address
207 OLIVICK CIR NE, PALM BAY, FL 32907-1136
(321) 676-1714
(321) 676-1714
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52962609
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
01
—
6906308
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
04/02/2009
Last updated
01/30/2014
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