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PEACHES-NA-BASKET ADULT HEALTH CARE SERVICES NPI 1225309040


NPI Information

NPI: 1225309040
Provider Name: PEACHES-NA-BASKET ADULT HEALTH CARE SERVICES

Doing Business As: PEACHES-NA-BASKET ADULT SERVICES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2017 SOUTEL DR
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-3195
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PEACHES-NA-BASKET ADULT HEALTH CARE SERVICES 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. PEACHES-NA-BASKET ADULT HEALTH CARE SERVICES NPI is 1225309040. The provider is registered as an organization entity type.
The provider Is Doing Business As Peaches-na-basket Adult Services.

The provider's business location address is:

2017 SOUTEL DR
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-3195
Fax: (904) 330-0762

The provider's authorized official is B. Dolores Flemming .
The authorized official title is Ceo and has the following contact phone number (904) 766-4993.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 7/23/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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