Organization
PEACHES-NA-BASKET ADULT HEALTH CARE SERVICES
Active
Other names
Peaches-Na-Basket Adult Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. B. DOLORES FLEMMING MSA (CEO)
(904) 766-4993
Entity
Organization
Contact information
Practice address
2017 SOUTEL DR, JACKSONVILLE, FL 32208
(904) 766-3195
(904) 330-0762
Mailing address
2040 SOUTEL DR, JACKSONVILLE, FL 32208-2280
(904) 766-4993
(904) 766-4993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
07/23/2018
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