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Lliingleside Retirement Home
Assisted Living Facility in Jacksonville, Florida
NPI 1740583293

Lliingleside Retirement Home is an Assisted Living Facility based in Jacksonville, FL. Lliingleside Retirement Home practices in Jacksonville, FL. The NPI Number for Lliingleside Retirement Home is 1740583293 and holds a License No. AL5576 (Florida).

The current practice location address for Lliingleside Retirement Home is 1433 Ingleside Ave, Jacksonville, FL and can be reached out via phone at 904-389-6677 and via fax at 904-389-7011.

Location: 1433 Ingleside Ave, Jacksonville, FL, 32205-7712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740583293
Provider Name
Lliingleside Retirement Home
Credential
Provider Entity Type
Organization
Address
1433 Ingleside Ave, Jacksonville, FL, 32205-7712
Phone Number
904-389-6677
Fax Number
904-389-7011
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001119000 05 FL
institution
Provider Business Practice Location Address Details
Address
1433 Ingleside Ave
City
Jacksonville
State
Florida
Zip
32205-7712
Phone Number
904-389-6677
Fax Number
904-389-7011
person
Provider Business Mailing Address Details
Address
1433 Ingleside Ave
City
Jacksonville
State
Florida
Zip
32205-7712
Phone Number
904-389-6677
Fax Number
904-389-7011
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL5576 (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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