ST JOHNS COUNTY WELFARE FEDERATION
Nursing at Marine St, Saint Augustine, FL

License number
Florida SNF1489096
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: LARRY LAKE PHD, NHA
Title: ADMINISTRATOR
Phone: (904) 824-2501
Address
Address
161 Marine St, Saint Augustine, FL 32084
National Provider ID: 1861548562
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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St. Johns County Welfare Federation

Saint Augustine, FL

Industry:
Individual/Family Services
Registration:
Feb 24, 1976
Phone:
(904) 829-6514 (Phone)
Addresses:
161 Marine St, Saint Augustine, FL 32084
PO Box 2227, Saint Augustine, FL 32085
State ID:
735039
Business type:
Domestic Non Profit Corporation
Directors:
Mark Bailey (President, Secretary),William Abare (Secretary, Chairman),Heidi J. Eddins (Director),...
Agent:
Larry B. Lake

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