Healthcare Provider Details

I. General information

NPI: 1265200174
Provider Name (Legal Business Name): SANTOVENIA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6856 SAINT AUGUSTINE RD
JACKSONVILLE FL
32217-2818
US

IV. Provider business mailing address

7225 TAHITI RD
JACKSONVILLE FL
32216-3282
US

V. Phone/Fax

Practice location:
  • Phone: 904-600-3223
  • Fax:
Mailing address:
  • Phone: 305-282-6625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CLARA MARIA SOWERS
Title or Position: PRESIDENT
Credential:
Phone: 305-282-6625