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Hagan Assisted Living Facility
Respite Care in Jacksonville, Florida
NPI 1801031638

Hagan Assisted Living Facility is a Respite Care based in Jacksonville, FL. Hagan Assisted Living Facility practices in Jacksonville, FL. The NPI Number for Hagan Assisted Living Facility is 1801031638 and holds a License No. AL10746 (Florida).

The current practice location address for Hagan Assisted Living Facility is 3104 W 12Th St, Jacksonville, FL and can be reached out via phone at 904-382-3655.

Location: 3104 W 12Th St, Jacksonville, FL, 32254-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801031638
Provider Name
Hagan Assisted Living Facility
Credential
Provider Entity Type
Organization
Address
3104 W 12Th St, Jacksonville, FL, 32254-1808
Phone Number
904-382-3655
Fax Number
Provider Enumeration Date
12/08/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11100 05 FL
institution
Provider Business Practice Location Address Details
Address
3104 W 12Th St
City
Jacksonville
State
Florida
Zip
32254-1808
Phone Number
904-382-3655
Fax Number
person
Provider Business Mailing Address Details
Address
3104 W 12Th St
City
Jacksonville
State
Florida
Zip
32254-1808
Phone Number
904-382-3655
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL10746 (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.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
AL10746 (Florida)
Definition
Definition to come.
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