Organization · Type 2 NPI

Agnes Street Home for the Elderly

Assisted Living Facility · Jacksonville, FL

NPI number 1275970204 Active

Practice location

1346 Agnes St
Jacksonville, FL 32208-3302

Call (904) 766-7651 Map

Fax (904) 766-7668

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL5745 (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 1275970204

Agnes Street Home for the Elderly's National Provider Identifier is 1275970204, issued on May 31, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jacksonville, FL. The record was last updated on May 31, 2013.