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Kiva Of Palatka, Llc
Assisted Living Facility in Palatka, Florida
NPI 1457604241

Kiva Of Palatka, Llc is an Assisted Living Facility based in Bonita Springs, FL. Kiva Of Palatka, Llc practices in Palatka, FL. The NPI Number for Kiva Of Palatka, Llc is 1457604241 and holds a License No. AL827 (Florida).

The current practice location address for Kiva Of Palatka, Llc is 201 Zeagler Dr, Palatka, FL and can be reached out via phone at 386-325-0699.

Location: 201 Zeagler Dr, Palatka, FL, 34134-7415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457604241
Provider Name
Kiva Of Palatka, Llc
Credential
Provider Entity Type
Organization
Address
201 Zeagler Dr, Palatka, FL, 34134-7415
Phone Number
386-325-0699
Fax Number
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
689186100 01 FL MEDICAID WAIVER
institution
Provider Business Practice Location Address Details
Address
201 Zeagler Dr
City
Palatka
State
Florida
Zip
32177-3818
Phone Number
386-325-0699
Fax Number
person
Provider Business Mailing Address Details
Address
201 Zeagler Dr
City
Palatka
State
Florida
Zip
32177-3818
Phone Number
386-325-0699
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL827 (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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