NPI:
1679966873
Provider Name:
ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC
Other Name: ST. PHILOMENA ASSISTED LIVING
Classification:
Assisted Living Facility - 3104A0625X
Entity Type:
Organization
Specialization: Assisted Living, Mental Illness
Address:
3943 ELDRIDGE AVE
ORANGE PARK, FL
ZIP 32073
Phone:
(904) 470-9965
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ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC is an assisted living and mental illness assisted living facility in Orange Park, 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. ST. PHILOMENA ASSISTED LIVING FACILITIES, LLC NPI is 1679966873. The provider is registered as an organization entity type.
The provider Other Name Is St. Philomena Assisted Living.
The provider's business location address is:
3943 ELDRIDGE AVE
ORANGE PARK, FL
ZIP 32073-128
Phone: (904) 470-9965
The provider's authorized official is Phyllis Lashley Rodgers .
The authorized official title is Owner and has the following contact phone number (904) 470-9965.
The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.