ACACIA GROVE ASSISTED LIVING FACILITY LLC
Nursing at Ridgecrest Ave, Orange Park, FL

License number
Florida 12749
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MRS. DOROTHY MAE ARIAS RN
Title: ADMINISTRATOR
Phone: (904) 602-5550
Address
Address
2485 Ridgecrest Ave, Orange Park, FL 32065
National Provider ID: 1356714414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACACIA GROVE ASSISTED LIVING FACILITY LLC

Orange Park, FL

Status:
Inactive
Inactive reason:
Lc Amendment
Registration:
Mar 23, 2015
Inactive since:
May 26, 2015
Addresses:
2485 Ridgecrest Ave, Orange Park, FL 32065 (Physical)
2650 Waterstone Dr, Orange Park, FL 32073
State ID:
L15000051108
Business type:
Florida Limited Liability Company
Managers:
Rafael A Arias (Manager), 2650 Waterstone Dr, Orange Park, FL 32073 (Physical),Mrs Arias, 2650 Waterstone Dr, Orange Park, FL 32073 (Physical),Dorothy M. Arias (Manager)
Agent:
Dorothy Arias,2650 Waterstone Dr, Orange Park, FL 32073 (Physical)
EIN:
473534698

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