NPI 1003244823

Annie Carol Monroe

Organisation Adult Care Home Facility Jacksonville, FL

Practice location

Address: 8372 Country Creek Blvd, Jacksonville, FL 32221-6685
Phone: (904) 783-9448

Authorised official

Name: Annie Carol Monroe
Title: Owner
Phone: (904) 783-9448

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1003244823
Entity type: Organization
NPI issued: 15 Oct 2013
Record last updated: 15 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.