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Mrs. Lanisha J Holloway
Assisted Living Facility in Jacksonville, Florida
NPI 1497039143

Lanisha J Holloway is an Assisted Living Facility based in Jacksonville, FL. Lanisha J Holloway practices in Jacksonville, FL. The NPI Number for Lanisha J Holloway is 1497039143 and holds a License No. 12059 (Florida).

The current practice location address for Lanisha J Holloway is 5022 Perrine Dr, Jacksonville, FL and can be reached out via phone at 904-772-0651 and via fax at 904-438-5726.

Location: 5022 Perrine Dr, Jacksonville, FL, 32244-7493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497039143
Provider Name
Lanisha J Holloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
5022 Perrine Dr, Jacksonville, FL, 32244-7493
Phone Number
904-772-0651
Fax Number
904-438-5726
Provider Enumeration Date
09/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5022 Perrine Dr
City
Jacksonville
State
Florida
Zip
32210-7859
Phone Number
904-772-0651
Fax Number
904-438-5726
person
Provider Business Mailing Address Details
Address
5022 Perrine Dr
City
Jacksonville
State
Florida
Zip
32210-7859
Phone Number
904-772-0651
Fax Number
904-438-5726
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
12059 (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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