Loving Care Living Facility Incorporated
NPI #1750398541 in St Augustine, Florida
Provider Information
- NPI Number
- 1750398541
- Entity Type
- Organization
- Organization Name
- Loving Care Living Facility Incorporated
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 76 BRUEN ST
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-3406
- Phone
- (904) 824-6616
Authorized Official
- Name
- MR. THOMAS J JACKSON II, M.P.A.
- Title
- BUSINESS MGR/OWNER
- Phone
- (904) 824-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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