# FAMILY FIRST SOLUTION COMMUNITY DEVELOPMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114403185
- **Authorized official:** MRS. ASZLOYN NIKITA WAKEFIELD ED.S. (CEO)
- **Authorized official phone:** (904) 622-8684

## Contact information

- **Practice address:** 12280 SUMTER SQUARE DR W, JACKSONVILLE, FL 32218
- **Practice address phone:** (904) 622-8684
- **Mailing address:** 12280 SUMTER SQUARE DR W, JACKSONVILLE, FL 32218-6125
- **Mailing address phone:** (904) 622-8684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | FL | — |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/17/2018