NPI 1053656199

San Juan Retirement Home

Organisation Alzheimer Center (Dementia Center) Jacksonville, FL

Practice location

Address: 6561 San Juan Ave, Jacksonville, FL 32210-2857
Phone: (904) 695-9605
Fax: (904) 693-1973

Authorised official

Name: Elvira Chua Demdam
Title: Alf Administrator
Phone: (904) 695-9605

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 9587 (FL)

Other Alzheimer Center (Dementia Center) providers in Florida →

Registry record

NPI: 1053656199
Entity type: Organization
NPI issued: 29 Nov 2012
Record last updated: 29 Nov 2012

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.