Organization
LASTING IMPRESSION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LYNETTE SCOTT (PROGRAM DIRECTOR)
(904) 703-5652
Entity
Organization
Contact information
Practice address
6010 DUCLAY RD, SUITE 7, JACKSONVILLE, FL 32244-8600
(904) 703-5652
Mailing address
6010 DUCLAY RD, SUITE 7, JACKSONVILLE, FL 32244-8600
(904) 703-5652
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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