Organization
DEBRA'S ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ALTHEA RICHARDS (OWNER)
(904) 379-0354
Entity
Organization
Contact information
Practice address
3957 VICTORIA LAKES DR S, JACKSONVILLE, FL 32226-0710
(904) 379-0354
Mailing address
3957 VICTORIA LAKES DR S, JACKSONVILLE, FL 32226-0710
(904) 379-0354
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906605
FL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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