Jacobs Ladder Family II Assisted Living II
NPI #1588961866 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1588961866
- Entity Type
- Organization
- Organization Name
- Jacobs Ladder Family II Assisted Living II
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 22, 2011
- Last Updated
- Feb 22, 2011
Practice Location
- Address
- 123 BOCA CIEGA RD
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-2601
- Phone
- (321) 613-2672
Authorized Official
- Name
- MS. KAROLENA DECLERCQ, R.N.
- Title
- ADMINISTRATOR
- Phone
- (321) 223-3967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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