Washington Adult Family Care Home

LBN: Washington Adult Family Care Home
Washington Adult Family Care Home is an health care organization with primary practice located at 1963 W 17Th St , Jacksonville FL 32209-4775. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Washington Adult Family Care Home can be contacted via phone (904) 355-2031, or through Washington, Ethel P. via phone (904) 355-2031.

Contact Information

Primary practice address
1963 W 17Th St Jacksonville FL 32209-4775
Phone: (904) 355-2031
Fax: (904) 355-8985
Website:
Map and Directions
Authorized official contact:
Name: Washington, Ethel P.
Phone: (904) 355-2031

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6905691 Florida

Profile Details

NPI number 1578969689
LBN Legal business name Washington Adult Family Care Home
DBA Doing business as
Authorized official Washington, Ethel P.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2014
Last updated Nov 17th, 2014 - 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 1578969689 NPPES
Florida MEDICAID 142164600

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