Provider Demographics
NPI:1891353777
Name:V & K HORIZONS
Entity Type:Organization
Organization Name:V & K HORIZONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIELKA
Authorized Official - Middle Name:HAYDEE
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:904-382-6109
Mailing Address - Street 1:1388 ROYAL DORNOCH DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-4113
Mailing Address - Country:US
Mailing Address - Phone:904-382-6109
Mailing Address - Fax:
Practice Address - Street 1:7019 MARK ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-4889
Practice Address - Country:US
Practice Address - Phone:904-520-9262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility