PLEASANT LIVING FACILITY, INC.
Nursing at Hill St, Jacksonville, FL

License number
Florida AL9304
Category
Nursing
Type
Assisted Living Facility
Owner
Name: GWENDOLYN WALTHOUR
Title: ADMINISTRATOR/OWNER
Phone: (904) 353-0501
Address
Address
1543 Hill St, Jacksonville, FL 32202
National Provider ID: 1518197912
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PLEASANT LIVING FACILITY, INC

1543 Hl St, Jacksonville, FL 32202

Industry:
Individual/Family Services
Registration:
Oct 14, 1998
State ID:
P98000088165
Business type:
Florida Profit Corporation
Treasurer, Director, Vice Presidents:
Gwendolyn Walthour (President, Secretary, Director), 505 Gordon Chapel Rd, Hawthorne, FL 32640 (Physical),Robert Walthour Treasurer, Director, Vice President, inactive
Agent:
Walthour, Gwendolyn,505 Gordon Chapel Rd, Hawthorne, FL 32640 (Physical)
EIN:
59-3573758

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