# KIPLASHAWN GROWING HANDS

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

## Provider details

- **NPI number:** 1164200655
- **Authorized official:** KIPPLIN LASHAWN FORD SPECIALIST (OWNER)
- **Authorized official phone:** (904) 424-3795

## Contact information

- **Practice address:** 8384 BAYMEADOWS RD STE 13, JACKSONVILLE, FL 32256-7437
- **Practice address phone:** (904) 424-3795
- **Mailing address:** 12250 ATLANTIC BLVD APT 1307, JACKSONVILLE, FL 32225-5808
- **Mailing address phone:** (904) 424-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2023
- **Last updated:** 09/18/2023