Ivan Maldonado
Ivan Maldonado is an Assisted Living Facility (Mental Illness) in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
6320 Arlington RdJacksonville, FL 32211-5430
Phone: (904) 743-9069
Fax: (904) 743-3584
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Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence AL8958 (FL) |
|---|
Record details
| NPI number | 1952714404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2014 |
| Last updated in NPPES | June 3, 2014 |
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