Organization
SERVICE STRIPED ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D HARPER (OWNER)
(904) 891-1211
Entity
Organization
Contact information
Practice address
8876 CUMBRIA CT, JACKSONVILLE, FL 32219-4390
(904) 891-1211
Mailing address
8876 CUMBRIA CT, JACKSONVILLE, FL 32219-4390
(904) 891-1211
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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