Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trout River Assisted Living Facility

Organization Assisted Living Facility · NPI 1417482654

Trout River Assisted Living Facility is an Assisted Living Facility in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

4106 Woodley Creek Rd
Jacksonville, FL 32218-9184
Phone: (904) 887-3931
Fax: (904) 862-6916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL12997 (FL)

Record details

NPI number1417482654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valarie Sawyer — Administrator · (904) 887-3931
NPI enumeratedApril 25, 2017
Last updated in NPPESApril 25, 2017
Mailing address9821 Ribault Ave, Jacksonville, FL 32208-1492

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