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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAYNYODA JACKSON MED WAVIER AGENCY LLC

Active Organization

RAYNYODA JACKSON MED WAVIER AGENCY LLC is a Assisted Living Facility organization located in HIGH SPRINGS, Florida. NPI 1063719136 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · HIGH SPRINGS, FL

Registration Details

NPI Number
1063719136
Provider Type
Organization
NPI Issued
Feb 25, 2011 (15.45622089578 yrs)
Last Updated
Feb 25, 2011
License
6906358 (FL)

Practice Information

Address
1230 NW 5TH AVE
HIGH SPRINGS, FL, 326430418
Browse FL providers · Browse ZIP 32643
Phone
3864330350
Fax
3854544288
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Organizations in HIGH SPRINGS, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.