Douglas Assisted Living Facility

LBN: Douglas Assisted Living Facility
Douglas Assisted Living Facility is an health care organization with primary practice located at 769 Ne Gurley Ave , Lake City FL 32055-2453. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Douglas Assisted Living Facility can be contacted via phone (386) 755-3304, or through Carter, Mary Alyce via phone (386) 755-3304.

Contact Information

Primary practice address
769 Ne Gurley Ave Lake City FL 32055-2453
Phone: (386) 755-3304
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carter, Mary Alyce
Phone: (386) 755-3304

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7558 Florida

Profile Details

NPI number 1417392150
LBN Legal business name Douglas Assisted Living Facility
DBA Doing business as
Authorized official Carter, Mary Alyce
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2013
Last updated May 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417392150 NPPES
Florida MEDICAID 1402340

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