NPI 1154133296

The Palisades at Ewu

Organisation Adult Care Home Facility Jacksonville, FL

Practice location

Address: 1156 W 4th St, Jacksonville, FL 32209-7704
Phone: (904) 610-5628
Mailing address: 77007 Merrill Rd Unit 8309, Jacksonville, FL 32277

Authorised official

Name: Kenkenyana Roberts
Title: Ceo
Phone: (904) 610-5628

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Florida →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Florida →

Registry record

NPI: 1154133296
Entity type: Organization
NPI issued: 24 Jan 2025
Record last updated: 24 Jan 2025

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.