Individual provider · Type 1 NPI

Angela Kelly

Adult Care Home Facility · Jacksonville, FL

NPI number 1992115547 Active

Practice location

720 Valley Forge Rd
Jacksonville, FL 32208-3566

Call (904) 405-9681 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906432 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Other adult care home facility providers in Jacksonville

See all in Jacksonville →

About NPI 1992115547

Angela Kelly's National Provider Identifier is 1992115547, issued on May 5, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Jacksonville, FL. The record was last updated on May 5, 2014.