Young Hearts Extended Assisted Living Facility, LLC

NPI #1518723535 in Starke, Florida

Provider Information

NPI Number: 1518723535
Entity Type: Organization
Organization Name: Young Hearts Extended Assisted Living Facility, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: YOUNG HEARTS EXTENDED ASSISTED LIVING FACILITY LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 27, 2024
Last Updated: Feb 27, 2024

Practice Location

Address: 329 N CHURCH ST
City: Starke
State: Florida
ZIP Code: 32091-3434
Phone: (904) 769-1122

Authorized Official

Name: MS. NIKITA L JENKINS, RN
Title: ADMINISTRATOR
Phone: (904) 769-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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