Organization
JEREMIAH'S WALK HOME & HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL NELSON-LEWIS RN (OWNER)
(904) 400-9864
Entity
Organization
Contact information
Practice address
3757 LONGLEAF FOREST LN, JACKSONVILLE, FL 32210-9100
(904) 300-3933
Mailing address
3757 LONGLEAF FOREST LN, JACKSONVILLE, FL 32210-9100
(904) 300-3933
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/23/2024
Last updated
10/28/2025
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