Organization
5TH ESSENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSIE JACKSON LMT (OWNER)
(210) 999-0960
Entity
Organization
Contact information
Practice address
5706 BLACKTHORN RD, JACKSONVILLE, FL 32244-2008
(904) 385-3288
Mailing address
5706 BLACKTHORN RD, JACKSONVILLE, FL 32244-2008
(904) 385-3288
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/17/2024
Last updated
07/24/2024
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