10D0940412 CLIA NUMBER - BROOKDALE CROWN POINT

Laboratory Demographics

CLIA Number: 10D0940412

Facility Name: BROOKDALE CROWN POINT

Facility Address:
10050 OLD ST AUGUSTINE ROAD
JACKSONVILLE, FL
ZIP 32257
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Facility Phone Number: 904 288-8700

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1114253945

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D0940412
LAB Type	Other
Facility Name	BROOKDALE CROWN POINT
Street	10050 OLD ST AUGUSTINE ROAD
City	JACKSONVILLE
State	FL
ZIP	32257
Phone	904 288-8700
CertificateType	4
CertificateEffectiveDate	2/10/2024
CertificateExpirationDate	2/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024