Jax Senior Care LLC
NPI #1982206645 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1982206645
- Entity Type
- Organization
- Organization Name
- Jax Senior Care LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 9, 2020
- Last Updated
- Nov 9, 2020
Practice Location
- Address
- 119 DA VINCI BLVD
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-8821
- Phone
- (904) 326-0900
Authorized Official
- Name
- MR. JAMES DANIEL FISCHER
- Title
- ADMINISTRATOR
- Phone
- (904) 326-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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