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CARLENE SPENCER ADULT FAMILY CARE HOME

Adult Care Home

Jacksonville, Florida

Provider NPI: 1972744209

Organization Information:
Organization Name:  CARLENE SPENCER ADULT FAMILY CARE HOME


Practice Location:
5120 FOXBORO RD  JACKSONVILLE, FL 32208 US
Tel: 904-766-0307  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
FL6905980

Other Provider Identifiers:

IssuerNumberStateType
6931081 98FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS FL - Page 1