Organization
HARRIS HOUSE ADULT DAY CARE CENTER, INC.
Active
Organization
HARRIS HOUSE ADULT DAY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HARRIS (CEO)
(904) 425-4040
Entity
Organization
Contact information
Practice address
9857 GIBSON AVE, JACKSONVILLE, FL 32208-1213
(904) 425-4040
Mailing address
9857 GIBSON AVE, JACKSONVILLE, FL 32208-1213
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687233600
—
FL
Enumeration date
12/31/2010
Last updated
12/31/2010
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