PEABODY ALF INC NPI 1194174912

NPI Information

PEABODY ALF INC 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. PEABODY ALF INC NPI is 1194174912. The provider is registered as an organization entity type.

The provider's business location address is:

1309 PEABODY DR E
JACKSONVILLE, FL
ZIP 32221-291
Phone: (904) 695-2967

The provider's authorized official is Antonio Maulion Doctor .
The authorized official title is Owner/administrator and has the following contact phone number (904) 695-2967.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 8/2/2023.

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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