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Gloria Miller
Assisted Living Facility (Mental Illness) in Jacksonville, Florida
NPI 1821415167

Gloria Miller is an Assisted Living Facility (Mental Illness) based in Jacksonville, FL and is specialized in Assisted Living, Mental Illness. Gloria Miller practices in Jacksonville, FL. The NPI Number for Gloria Miller is 1821415167 and holds a License No. AL11371 (Florida).

The current practice location address for Gloria Miller is 2217 Perry Pl, Jacksonville, FL and can be reached out via phone at 904-398-0734 and via fax at 904-399-4146.

Location: 2217 Perry Pl, Jacksonville, FL, 32207-3465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821415167
Provider Name
Gloria Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2217 Perry Pl, Jacksonville, FL, 32207-3465
Phone Number
904-398-0734
Fax Number
904-399-4146
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
693050696 05 FL
institution
Provider Business Practice Location Address Details
Address
2217 Perry Pl
City
Jacksonville
State
Florida
Zip
32207-3465
Phone Number
904-398-0734
Fax Number
904-399-4146
person
Provider Business Mailing Address Details
Address
2217 Perry Pl
City
Jacksonville
State
Florida
Zip
32207-3465
Phone Number
904-398-0734
Fax Number
904-399-4146
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL11371 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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