JRA ADULT FAMILY CARE HOME
NPI 1356778526
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palm Coast, FL
- Organization
- Residential Treatment Facility, Intellec...
About JRA ADULT FAMILY CARE HOME
This page provides the complete NPI Profile along with additional information for Jra Adult Family Care Home, a provider established in Palm Coast, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1356778526 assigned on October 2013. The practitioner's primary taxonomy code is 320600000X with license number 6906482 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Joseph Alex Apollon (President & Ceo)
- NPI
- 1356778526 Verify this NPI
- Provider Name
- JRA ADULT FAMILY CARE HOME
- Entity Type
- Organization
- Location Address
- 41 WOODLAWN DR PALM COAST, FL 32164
- Location Phone
- (386) 931-9871
- Location Fax
- (386) 585-4962
- Mailing Address
- 41 WOODLAWN DR PALM COAST, FL 32164
- Mailing Phone
- (386) 931-9871
- Mailing Fax
- (386) 585-4962
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2013
- Last Update Date
- 10-03-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 6906482
- License State
- FL
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PALM COAST, FL 32164
PALM COAST, FL 32164
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356778526, enumerated as an "organization" on October 03, 2013.
The provider is located at 41 WOODLAWN DR PALM COAST, FL 32164 and the phone number is (386) 931-9871.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
