JBA SVCS INC D/B/A IMMACULATE HOUSE AT COUNTRYSIDE is an assisted living facility in Clearwater, 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. JBA SVCS INC D/B/A IMMACULATE HOUSE AT COUNTRYSIDE NPI is 1710154604. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Hills Home At Palm Harbor.
The provider's business location address is:
2542 COUNTRYSIDE PINES DR
CLEARWATER, FL
ZIP 33761-921
Phone: (727) 934-4310
Fax: (727) 943-2075
The provider's authorized official is Joanne Bock-ackerman .
The authorized official title is Alf Administrator and has the following contact phone number (727) 934-4310.
The enumeration date for this NPI number is 5/10/2008 and was last updated on 5/10/2008.