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COMPASSIONATE CAREGIVER INC

Assisted Living, Mental Illness

Jacksonville, Florida

Provider NPI: 1023268570

Organization Information:
Organization Name:  COMPASSIONATE CAREGIVER INC


Practice Location:
2217 PERRY PL  JACKSONVILLE, FL 32207 US
Tel: 904-398-0734  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
FLAL11371

Other Provider Identifiers:

IssuerNumberStateType
MEDICAID WAVIER PROVIDER6930506 96FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS FL - Page 1