Agnes Street Home for the Elderly
Agnes Street Home for the Elderly is an Assisted Living Facility in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
1346 Agnes StJacksonville, FL 32208-3302
Phone: (904) 766-7651
Fax: (904) 766-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence AL5745 (FL) |
|---|
Record details
| NPI number | 1275970204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Atakelte Admasu — Owner/Administrator · (904) 766-7651 |
| NPI enumerated | May 31, 2013 |
| Last updated in NPPES | May 31, 2013 |
| Mailing address | 1346 Agnes St, Jacksonville, FL 32208-3302 |
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