OrganizationActive
Iconnect Jax
NPI 1144860206 · Assisted Living Facility (Behavioral Disturbances) · Jacksonville, FL
Provider details
- NPI number
- 1144860206
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Williams, Director(904) 861-5771
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4372 Southside Blvd Ste 203
Jacksonville, FL 32216-8503
Phone: (904) 861-5771
Approximate (ZIP-level) locationGet directions
Mailing address
4372 Southside Blvd Ste 203
Jacksonville, FL 32216-8503
Registry dates
- Enumerated
- 2020-01-07
- Last updated
- 2020-01-07
- Certified
- 2020-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.