Organization · Type 2 NPI

Peaches-Na-Basket Adult Health Care Services

Assisted Living Facility · Jacksonville, FL

NPI number 1225309040 Active

Practice location

2017 Soutel Dr
Jacksonville, FL 32208

Call (904) 766-3195 Map

Fax (904) 330-0762

Mailing address

2040 Soutel Dr
Jacksonville, FL 32208-2280

Other practice locations

2040 Soutel Dr, Jacksonville, FL 32208-2280 · (904) 766-4993

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency	253Z00000X	None listed
Assisted Living Facility Primary	310400000X	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.

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NPI record

NPI: 1225309040
Entity type: Organization (Type 2)
Issued: Jan 25, 2012
Last updated: Jul 23, 2018
Status: Active

Other names

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Peaches-Na-Basket Adult Services · doing business as
Peaches-Na-Basket Adult Services · doing business as

Authorized official

Ms. B. Dolores Flemming, MSA
CEO
(904) 766-4993

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225309040

Peaches-Na-Basket Adult Health Care Services's National Provider Identifier is 1225309040, issued on Jan 25, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 23, 2018.