# MT. MORIAH UNITED METHODIST CHURCH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt. Moriah Adult Daycare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366770133
- **Authorized official:** DELORIS DEMPS (ADMINISTRATOR)
- **Authorized official phone:** (904) 396-6918

## Contact information

- **Practice address:** 3919 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-6638
- **Practice address phone:** (904) 396-6918
- **Practice address fax:** (904) 396-1444
- **Mailing address:** 3919 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-6638
- **Mailing address phone:** (904) 396-6918
- **Mailing address fax:** (904) 396-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 9038 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2009
- **Last updated:** 12/06/2009