AGING GRACE LLC
Nursing at Soutel Dr, Jacksonville, FL

License number
Florida AL12669
Category
Nursing
Type
Assisted Living Facility
Owner
Name: COREY LENNARD BRADFORD
Title: OWNER
Phone: (904) 237-0206
Address
Address
2408 Soutel Dr, Jacksonville, FL 32208
National Provider ID: 1013397850
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AGING GRACE LLC at bizstanding.com

AGING GRACE LLC

2408 Soutel Dr, Jacksonville, FL 32209

Registration:
Jan 20, 2015
State ID:
L15000011335
Business type:
Florida Limited Liability Company
Manager:
Corey Bradford (Manager), 3518 Old Vlg Dr, Orange Park, FL 32065 (Physical)
EIN:
47-3601669

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