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GROWN FOLKS ADULT SOCIAL CENTER NPI 1376890301


NPI Information

NPI: 1376890301
Provider Name: GROWN FOLKS ADULT SOCIAL CENTER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1823 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 329-3503
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GROWN FOLKS ADULT SOCIAL CENTER is an adult care home custodial care facility in Jacksonville, FL. The provider is 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. GROWN FOLKS ADULT SOCIAL CENTER NPI is 1376890301. The provider is registered as an organization entity type.

The provider's business location address is:

1823 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216-930
Phone: (904) 329-3503
Fax: (904) 329-3505

The provider's authorized official is Anita Burney .
The authorized official title is President and has the following contact phone number (904) 329-3503.

The enumeration date for this NPI number is 8/9/2012 and was last updated on 8/9/2012.


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
1311ZA0620XCustodial Care FacilityAdult Care Home9196FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004757200MEDICAIDFLORIDA

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: 11/14/2023

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