Organization · Type 2 NPI

Hidden Oaks Alf, Inc

Assisted Living Facility · Jennings, FL

NPI number 1376896555 Active

Practice location

7216 NW 22nd Dr
Jennings, FL 32053-2351

Call (386) 938-2097 Map

Fax (386) 938-2636

Mailing address

PO Box 180
Jennings, FL 32053-0180

Specialties and licenses

Taxonomy	Code	License
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: 1376896555
Entity type: Organization (Type 2)
Issued: Oct 24, 2012
Last updated: Dec 28, 2022
Status: Active
Subpart: Yes of Hidden Oaks Alf, Inc

Other names

<unavail>
The Susan Rewis House · doing business as

Authorized official

Ms. Wanda M. Law, MASTERS OF EDUCATION
Owner/administrator
(386) 938-1149

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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 1376896555

Hidden Oaks Alf, Inc's National Provider Identifier is 1376896555, issued on Oct 24, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jennings, FL. The record was last updated on Dec 28, 2022.