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Angela Kelly
Adult Care Home Facility in Jacksonville, Florida
NPI 1992115547

Angela Kelly is an Adult Care Home Facility based in Jacksonville, FL and is specialized in Adult Care Home. Angela Kelly practices in Jacksonville, FL. The NPI Number for Angela Kelly is 1992115547 and holds a License No. 6906432 (Florida).

The current practice location address for Angela Kelly is 720 Valley Forge Rd, Jacksonville, FL and can be reached out via phone at 904-405-9681. You can also correspond with Angela Kelly through the mailing address at 720 VALLEY FORGE RD, JACKSONVILLE, FL - 32208-3566 (mailing address contact number: 904-405-9681).

Location: 720 Valley Forge Rd, Jacksonville, FL, 32208-3566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992115547
Provider Name
Angela Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Valley Forge Rd, Jacksonville, FL, 32208-3566
Phone Number
904-405-9681
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Valley Forge Rd
City
Jacksonville
State
Florida
Zip
32208-3566
Phone Number
904-405-9681
Fax Number
person
Provider Business Mailing Address Details
Address
720 Valley Forge Rd
City
Jacksonville
State
Florida
Zip
32208-3566
Phone Number
904-405-9681
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.
6906432 (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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