Organization
ACE-AGENCY FOR COMMUNITY EMPOWERMENT , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEIGH SHEPHARD (VICE PRESIDENT/TREASURER OF BOD)
(904) 551-0760
Entity
Organization
Contact information
Practice address
5730 BOWDEN RD, SUITE 206, JACKSONVILLE, FL 32216-6104
(904) 551-0760
Mailing address
5730 BOWDEN RD, SUITE 206, JACKSONVILLE, FL 32216-6104
(904) 551-0760
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000985800
—
FL
05
—
000985801
—
FL
05
—
002066400
—
FL
Enumeration date
11/18/2009
Last updated
09/25/2013
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