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Marina Campos
Adult Care Home Facility in Jacksonville, Florida
NPI 1669631214

Marina Campos is an Adult Care Home Facility based in Jacksonville, FL and is specialized in Adult Care Home. Marina Campos practices in Jacksonville, FL. The NPI Number for Marina Campos is 1669631214 and holds a License No. 6905793 (Florida).

The current practice location address for Marina Campos is 2264 Dellwood Ave, Jacksonville, FL and can be reached out via phone at 904-384-3888. You can also correspond with Marina Campos through the mailing address at 2264 DELLWOOD AVE, JACKSONVILLE, FL - 32204-3102 (mailing address contact number: 904-384-3888).

Location: 2264 Dellwood Ave, Jacksonville, FL, 32204-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669631214
Provider Name
Marina Campos
Credential
Provider Entity Type
Individual
Gender
Female
Address
2264 Dellwood Ave, Jacksonville, FL, 32204-3102
Phone Number
904-384-3888
Fax Number
Provider Enumeration Date
06/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142300200 05 FL
institution
Provider Business Practice Location Address Details
Address
2264 Dellwood Ave
City
Jacksonville
State
Florida
Zip
32204-3102
Phone Number
904-384-3888
Fax Number
person
Provider Business Mailing Address Details
Address
2264 Dellwood Ave
City
Jacksonville
State
Florida
Zip
32204-3102
Phone Number
904-384-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905793 (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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