Individual
JOSHUA R GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 ALMEDA ST, JACKSONVILLE, FL 32209-4632
(904) 554-4477
Mailing address
2405 ALMEDA ST, JACKSONVILLE, FL 32209-4632
(904) 554-4477
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
10/23/2020
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