RAYNYODA JACKSON MED WAVIER AGENCY LLC is an assisted living facility in High Springs, 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. RAYNYODA JACKSON MED WAVIER AGENCY LLC NPI is 1063719136. The provider is registered as an organization entity type.
The provider's business location address is:
1230 NW 5TH AVE
HIGH SPRINGS, FL
ZIP 32643-418
Phone: (386) 433-0350
Fax: (385) 454-4288
The provider's authorized official is Raynyoda Shelonda Jackson .
The authorized official title is Provider and has the following contact phone number (386) 433-0350.
The enumeration date for this NPI number is 2/25/2011 and was last updated on 2/25/2011.