Organization
XTRA MILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY JONES (OWNER)
(912) 660-6023
Entity
Organization
Contact information
Practice address
13251 SPARTINA GRASS DR, JACKSONVILLE, FL 32218-3549
(912) 660-6023
Mailing address
13251 SPARTINA GRASS DR, JACKSONVILLE, FL 32218-3549
(912) 660-6023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/19/2023
Last updated
10/21/2023
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