# SHOPJVEON LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHOPJVEON LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467923946
- **Legal business name:** SHOPJVEON LLC
- **Authorized official:** MR. JAYVEON M PETERSON (OWNER)
- **Authorized official phone:** (904) 415-7664

## Contact information

- **Practice address:** 15402 HIDDEN FOAL DRIVE, JACKSONVILLE, FL 32234
- **Practice address phone:** (904) 415-7664
- **Mailing address:** PO BOX 143052, GAINESVILLE, FL 32614
- **Mailing address phone:** (904) 415-7664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 12/10/2018