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Mrs. Betty J. Crusaw, ADMINOWNER
Assisted Living Facility in Jacksonville, Florida
NPI 1598975104

Betty J. Crusaw is an Assisted Living Facility based in Jacksonville, FL. Betty J. Crusaw practices in Jacksonville, FL and has the professional credentials of ADMINOWNER. The NPI Number for Betty J. Crusaw is 1598975104 and holds a License No. AL10996 (Florida).

The current practice location address for Betty J. Crusaw is 5265 Longleaf St, Jacksonville, FL and can be reached out via phone at 904-764-3600.

Location: 5265 Longleaf St, Jacksonville, FL, 32208-1370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598975104
Provider Name
Betty J. Crusaw
Credential
ADMINOWNER
Provider Entity Type
Individual
Gender
Female
Address
5265 Longleaf St, Jacksonville, FL, 32208-1370
Phone Number
904-764-3600
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5265 Longleaf St
City
Jacksonville
State
Florida
Zip
32209-2704
Phone Number
904-764-3600
Fax Number
person
Provider Business Mailing Address Details
Address
5265 Longleaf St
City
Jacksonville
State
Florida
Zip
32209-2704
Phone Number
904-764-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL10996 (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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