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Organization
NORTHEAST FLORIDA RESIDENTIAL CARE FACILITY INC
Active
Organization
NORTHEAST FLORIDA RESIDENTIAL CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAUNDRIA DENISE SHAHEED (OWNER)
(904) 532-5186
Entity
Organization
Contact information
Practice address
4232 ARBOR MILL CIR, ORANGE PARK, FL 32065-3204
(904) 532-5186
Mailing address
4232 ARBOR MILL CIR, ORANGE PARK, FL 32065-3204
(904) 532-5186
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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