Organization Name: | ACV COMMUNITY SERVICES, LLC |
NPI Number: | 1740344563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG A. CARTER (PRESIDENT/CEO) |
Mailing Address: | 10676 Marvin E. Jones Blvd Live Oak |
State: | FL US |
Postal Code: | 32060 |
Phone Number: | 3866585552 |
Fax Number: | 3866585535 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 11911091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |