Organization
FAMILY FIRST SOLUTION COMMUNITY DEVELOPMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASZLOYN NIKITA WAKEFIELD ED.S. (CEO)
(904) 622-8684
Entity
Organization
Contact information
Practice address
12280 SUMTER SQUARE DR W, JACKSONVILLE, FL 32218
(904) 622-8684
Mailing address
12280 SUMTER SQUARE DR W, JACKSONVILLE, FL 32218-6125
(904) 622-8684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018486300
—
FL
Enumeration date
07/12/2018
Last updated
07/17/2018
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