NPI: 1265780274
Provider Name: WILEY RETIREMENT HOME
Doing Business As: SANJUAN RETIREMENT HOME
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
7024 WILEY RD
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 374-2071
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WILEY RETIREMENT HOME is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. WILEY RETIREMENT HOME NPI is 1265780274. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanjuan Retirement Home.
The provider's business location address is:
7024 WILEY RD
JACKSONVILLE, FL
ZIP 32210-736
Phone: (904) 374-2071
The provider's authorized official is Elvira Chua Chua .
The authorized official title is Administrator and has the following contact phone number (904) 374-2071.
The enumeration date for this NPI number is 8/22/2012 and was last updated on 8/22/2012.