Raynyoda Jackson Med Wavier Agency LLC
Raynyoda Jackson Med Wavier Agency LLC is an Assisted Living Facility in High Springs, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1230 NW 5th AveHigh Springs, FL 32643-0418
Phone: (386) 433-0350
Fax: (385) 454-4288
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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 6906358 (FL) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1063719136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raynyoda Jackson — Provider · (386) 433-0350 |
| NPI enumerated | February 25, 2011 |
| Last updated in NPPES | February 25, 2011 |
| Mailing address | 1230 Nw 5th Ave, Po Box 2634, High Springs, FL 32643-0418 |
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