ORANGE PARK ASSISTED LIVING FACILITY, INC.
Nursing at Ridgecrest Ave, Orange Park, FL

License number
Florida AL12390
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MARIE JENKINS
Title: OWNER/ADMINISTRATOR
Phone: (904) 673-1419
Address
Address
2485 Ridgecrest Ave, Orange Park, FL 32065
National Provider ID: 1538595657
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORANGE PARK ASSISTED LIVING FACILITY, INC

2485 Ridgecrest Ave, Orange Park, FL 32073

Registration:
Jan 30, 2013
State ID:
P13000010008
Business type:
Florida Profit Corporation
President:
Marie Jenkins (President), 3714 Crk Holw Ln, Middleburg, FL 32068 (Physical)
Agent:
Jenkins, Marie,3714 Crk Holw Ln, Middleburg, FL 32068 (Physical)
EIN:
462075224

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