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Washington Adult Family Care Home
Adult Care Home Facility in Jacksonville, Florida
NPI 1578969689

Washington Adult Family Care Home is an Adult Care Home Facility based in Jacksonville, FL and is specialized in Adult Care Home. Washington Adult Family Care Home practices in Jacksonville, FL. The NPI Number for Washington Adult Family Care Home is 1578969689 and holds a License No. 6905691 (Florida).

The current practice location address for Washington Adult Family Care Home is 1963 W 17Th St, Jacksonville, FL and can be reached out via phone at 904-355-2031 and via fax at 904-355-8985.

Location: 1963 W 17Th St, Jacksonville, FL, 32209-4775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578969689
Provider Name
Washington Adult Family Care Home
Credential
Provider Entity Type
Organization
Address
1963 W 17Th St, Jacksonville, FL, 32209-4775
Phone Number
904-355-2031
Fax Number
904-355-8985
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142164600 05 FL
institution
Provider Business Practice Location Address Details
Address
1963 W 17Th St
City
Jacksonville
State
Florida
Zip
32209-4775
Phone Number
904-355-2031
Fax Number
904-355-8985
person
Provider Business Mailing Address Details
Address
1963 W 17Th St
City
Jacksonville
State
Florida
Zip
32209-4775
Phone Number
904-355-2031
Fax Number
904-355-8985
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905691 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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