Organization · Type 2 NPI
Raynyoda Jackson Med Wavier Agency LLC
Assisted Living Facility · High Springs, FL
NPI number
1063719136
Active
Practice location
1230 NW 5th Ave
High Springs, FL 32643-0418
Fax (385) 454-4288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 6906358 (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in High Springs
About NPI 1063719136
Raynyoda Jackson Med Wavier Agency LLC's National Provider Identifier is 1063719136, issued on Feb 25, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in High Springs, FL. The record was last updated on Feb 25, 2011.