Kiva of Palatka, LLC

NPI #1457604241 in Palatka, Florida

Provider Information

NPI Number
1457604241
Entity Type
Organization
Organization Name
Kiva of Palatka, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 18, 2012
Last Updated
Oct 18, 2012

Practice Location

Address
201 ZEAGLER DR
State
Florida
ZIP Code
32177-3818
Phone
(386) 325-0699

Authorized Official

Name
MR. THOMAS SCARBOROUGH
Title
OWNER
Phone
(615) 397-5271

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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