ANTHEM LAKES NPI 1093222515

NPI Information

ANTHEM LAKES is an assisted living facility in Jacksonville, FL. The provider is 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. ANTHEM LAKES NPI is 1093222515. The provider is registered as an organization entity type.

The provider's business location address is:

905 ASSISI LN
JACKSONVILLE, FL
ZIP 32233-972
Phone: (904) 746-7220

The provider's authorized official is Johnpaul Louis Goode .
The authorized official title is Operations Liaison and has the following contact phone number (804) 839-6946.

The CLIA number assigned to this NPI record is 10D2125378 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 1/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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