STEPHENS MEMORIAL HOME
Nursing at Datil Pepper Rd, Saint Augustine, FL

License number
Florida AL10189
Category
Nursing
Type
Assisted Living Facility
Owner
Name: BRENDA STEPHENS
Title: OWNER/PROVIDER
Phone: (904) 797-0294
Address
Address
5805 Datil Pepper Rd, Saint Augustine, FL 32086
National Provider ID: 1316381890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Stephens Memorial Home, Inc

5805 Datil Pepper Rd, Saint Augustine, FL 32086

Industry:
Nursing/Personal Care
Registration:
Jul 14, 2000
Phone:
(904) 797-0294 (Phone)
State ID:
P00000068597
Business type:
Domestic for Profit Corporation
President:
Brenda L. Stephens (President)

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