Fremont Assisted Living

LBN: Fremont Assisted Living
Fremont Assisted Living is an health care organization with primary practice located at 2200 Bayview Rd , Jacksonville FL 32210-4213. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fremont Assisted Living can be contacted via phone (904) 800-2653, or through Pancho, Angelus Gallo via phone (904) 800-2653.

Contact Information

Primary practice address
2200 Bayview Rd Jacksonville FL 32210-4213
Phone: (904) 800-2653
Fax: (904) 800-2656
Website:
Map and Directions
Authorized official contact:
Name: Pancho, Angelus Gallo
Phone: (904) 800-2653

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12549 Florida

Profile Details

NPI number 1831593383
LBN Legal business name Fremont Assisted Living
DBA Doing business as
Authorized official Pancho, Angelus Gallo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2014
Last updated Oct 13th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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