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Agnes Street Home For The Elderly
Assisted Living Facility in Jacksonville, Florida
NPI 1275970204

Agnes Street Home For The Elderly is an Assisted Living Facility based in Jacksonville, FL. Agnes Street Home For The Elderly practices in Jacksonville, FL. The NPI Number for Agnes Street Home For The Elderly is 1275970204 and holds a License No. AL5745 (Florida).

The current practice location address for Agnes Street Home For The Elderly is 1346 Agnes St, Jacksonville, FL and can be reached out via phone at 904-766-7651 and via fax at 904-766-7668.

Location: 1346 Agnes St, Jacksonville, FL, 32208-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275970204
Provider Name
Agnes Street Home For The Elderly
Credential
Provider Entity Type
Organization
Address
1346 Agnes St, Jacksonville, FL, 32208-3302
Phone Number
904-766-7651
Fax Number
904-766-7668
Provider Enumeration Date
05/31/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
142605200 05 FL
institution
Provider Business Practice Location Address Details
Address
1346 Agnes St
City
Jacksonville
State
Florida
Zip
32208-3302
Phone Number
904-766-7651
Fax Number
904-766-7668
person
Provider Business Mailing Address Details
Address
1346 Agnes St
City
Jacksonville
State
Florida
Zip
32208-3302
Phone Number
904-766-7651
Fax Number
904-766-7668
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL5745 (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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