CARRIAGE CLUB OF JACKSONVILLE - NPI 1255633681 - Assisted Living Facility in Jacksonville, FL

Q: What is Arc Carriage Club Of Jacksonville, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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About Carriage Club Of Jacksonville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIAGE CLUB OF JACKSONVILLE (NPI 1255633681) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since November 2010. The organization lists Mark Ohlendorf, Co-president, as its authorized official.

NPPES Registry Identity

NPI1255633681

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameARC CARRIAGE CLUB OF JACKSONVILLE, INC.

Location Address9601 SOUTHBROOK DRJacksonville, FL 32256-0601

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(904) 641-7501

Fax(904) 646-4055

Organization SubpartNo

Authorized OfficialMark OhlendorfCo-president · (414) 918-5000

Enumeration DateNovember 17, 2010

✔ NPI 1255633681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

9601 SOUTHBROOK DR, Jacksonville, FL 32256

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Other Names 1

Doing Business AsCarriage Club Of Jacksonville

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITA MICHELLE SEYMOUR MA CCC/SLP

Speech-Language Pathologist