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Tiki Stafford
Assisted Living Facility in Jacksonville, Florida
NPI 1225544208

Tiki Stafford is an Assisted Living Facility based in Jacksonville, FL. Tiki Stafford practices in Jacksonville, FL. The NPI Number for Tiki Stafford is 1225544208 and holds a License No. AL11951 (Florida).

The current practice location address for Tiki Stafford is 3225 N Myrtle Ave, Jacksonville, FL and can be reached out via phone at 904-233-1090.

Location: 3225 N Myrtle Ave, Jacksonville, FL, 32209-4231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225544208
Provider Name
Tiki Stafford
Credential
Provider Entity Type
Organization
Address
3225 N Myrtle Ave, Jacksonville, FL, 32209-4231
Phone Number
904-233-1090
Fax Number
Provider Enumeration Date
12/28/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
004414400 05 FL
institution
Provider Business Practice Location Address Details
Address
3225 N Myrtle Ave
City
Jacksonville
State
Florida
Zip
32209-4231
Phone Number
904-233-1090
Fax Number
person
Provider Business Mailing Address Details
Address
3225 N Myrtle Ave
City
Jacksonville
State
Florida
Zip
32209-4231
Phone Number
904-233-1090
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL11951 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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