Young Hearts Extended Assisted Living Facility, LLC

NPI #1497219133 in Lawtey, Florida

Provider Information

NPI Number
1497219133
Entity Type
Organization
Organization Name
Young Hearts Extended Assisted Living Facility, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 28, 2019
Last Updated
Jan 28, 2019

Practice Location

Address
1410 NE 219TH ST
City
Lawtey
State
Florida
ZIP Code
32058-4387
Phone
(904) 769-1122

Authorized Official

Name
MS. NIKITA LATRICE JENKINS, RN, RN-BC
Title
RN/ADMINISTRATOR
Phone
(904) 769-1122

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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