Fsl Jax Beach Tenant Llc.
NPI #1073280988 in Jacksonville Beach, Florida
Provider Information
- NPI Number
- 1073280988
- Entity Type
- Organization
- Organization Name
- Fsl Jax Beach Tenant Llc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 1315 2ND AVE N
- State
- Florida
- ZIP Code
- 32250-3694
- Phone
- (904) 829-6479
Authorized Official
- Name
- LESLIE DAWN CRAYTON
- Title
- PROJECT MANAGER
- Phone
- (417) 877-1717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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