Carolyn Clanton Alf LLC

NPI #1003434028 in Jennings, Florida

Provider Information

NPI Number: 1003434028
Entity Type: Organization
Organization Name: Carolyn Clanton Alf LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jul 7, 2020
Last Updated: Apr 28, 2022

Practice Location

Address: 1146 HAMILTON AVE
City: Jennings
State: Florida
ZIP Code: 32053-2253
Phone: (386) 938-4102

Authorized Official

Name: MS. HEATHER N DAVIS
Title: ADMINISTRATOR/OWNER
Phone: (386) 855-1357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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