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Ivan Maldonado
Assisted Living Facility (Mental Illness) in Jacksonville, Florida
NPI 1952714404

Ivan Maldonado is an Assisted Living Facility (Mental Illness) based in Jacksonville, FL and is specialized in Assisted Living, Mental Illness. Ivan Maldonado practices in Jacksonville, FL. The NPI Number for Ivan Maldonado is 1952714404 and holds a License No. AL8958 (Florida).

The current practice location address for Ivan Maldonado is 6320 Arlington Rd, Jacksonville, FL and can be reached out via phone at 904-743-9069 and via fax at 904-743-3584.

Location: 6320 Arlington Rd, Jacksonville, FL, 32211-5430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952714404
Provider Name
Ivan Maldonado
Credential
Provider Entity Type
Individual
Gender
Male
Address
6320 Arlington Rd, Jacksonville, FL, 32211-5430
Phone Number
904-743-9069
Fax Number
904-743-3584
Provider Enumeration Date
06/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141157800 05 FL
institution
Provider Business Practice Location Address Details
Address
6320 Arlington Rd
City
Jacksonville
State
Florida
Zip
32211-5430
Phone Number
904-743-9069
Fax Number
904-743-3584
person
Provider Business Mailing Address Details
Address
6320 Arlington Rd
City
Jacksonville
State
Florida
Zip
32211-5430
Phone Number
904-743-9069
Fax Number
904-743-3584
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL8958 (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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