Provider Demographics
NPI:1851833453
Name:INTEGRITY - CANDLER LIVING CENTER, LLC
Entity Type:Organization
Organization Name:INTEGRITY - CANDLER LIVING CENTER, LLC
Other - Org Name:CANDLER LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-543-8382
Mailing Address - Street 1:115 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-6259
Mailing Address - Country:US
Mailing Address - Phone:904-543-8382
Mailing Address - Fax:904-543-1808
Practice Address - Street 1:136 ROBINSON COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9490
Practice Address - Country:US
Practice Address - Phone:828-633-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRITY SENIOR PROPERTIES INVESTMENTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility