PETERSON ASSISTED LIVING FACILITY
Nursing at Silver St, Jacksonville, FL

License number
Florida AL8638
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MS. LAVERNE JACKSON
Title: DIRECTOR OF OPERATION
Phone: (904) 356-3922
Address
Address
1622 Silver St, Jacksonville, FL 32206
National Provider ID: 1447697628
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PETERSON ASSISTED LIVING FACILITY at bizstanding.com

PETERSON ASSISTED LIVING FACILITY INC

1622 Silver St, Jacksonville, FL 32206

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 15, 2003
Inactive since:
Oct 1, 2004
State ID:
P03000114117
Business type:
Florida Profit Corporation
Agent:
Peterson, Mary,1622 Silver St, Jacksonville, FL 32206 (Physical)
EIN:
NO-NE

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