Organization · Type 2 NPI

Tiki Stafford

Assisted Living Facility · Jacksonville, FL

NPI number 1225544208 Active

Practice location

3225 N Myrtle Ave
Jacksonville, FL 32209-4231

Call (904) 233-1090 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL11951 (FL)

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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About NPI 1225544208

Tiki Stafford's National Provider Identifier is 1225544208, issued on Dec 28, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 28, 2017.