NPI 1194979773

Friends and Adult Family Care Home

Organisation Adult Care Home Facility Jacksonville, FL

Practice location

Address: 764 Aqua Surf CT, Jacksonville, FL 32225-0802
Phone: (904) 554-6051
Fax: (904) 361-3235

Authorised official

Name: Agelet St-Hubert
Title: Owner/Provider
Phone: (904) 554-6051

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906276 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1194979773
Entity type: Organization
NPI issued: 10 Nov 2008
Record last updated: 3 Apr 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.