FLORIDA SOUTHERN ASSISTED LIVING LLC NPI 1689916546

NPI Information

FLORIDA SOUTHERN ASSISTED LIVING LLC 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. FLORIDA SOUTHERN ASSISTED LIVING LLC NPI is 1689916546. The provider is registered as an organization entity type.
The provider Is Doing Business As Ingleside Retirement Home.

The provider's business location address is:

1433 INGLESIDE AVE
JACKSONVILLE, FL
ZIP 32205-712
Phone: (843) 571-5399
Fax: (843) 571-5659

The provider's authorized official is Stephanie Woodruff .
The authorized official title is Ceo and has the following contact phone number (843) 571-5366.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 3/19/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.