IndividualActive
Angela Kelly
NPI 1992115547 · Adult Care Home Facility · Jacksonville, FL
Provider details
- NPI number
- 1992115547
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6906432 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
720 Valley Forge Rd
Jacksonville, FL 32208-3566
Phone: (904) 405-9681
Approximate (ZIP-level) locationGet directions
Mailing address
720 Valley Forge Rd
Jacksonville, FL 32208-3566
Registry dates
- Enumerated
- 2014-05-05
- Last updated
- 2014-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.