Organization
DEMETRICE DOWDELL
Active
Other names
Demetrice Adult Family Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRICE DOWDELL (ADMINISTRATOR/OWNER)
(904) 881-8908
Entity
Organization
Contact information
Practice address
1959 CHEROKEE COVE TRL, JACKSONVILLE, FL 32221-4927
(904) 881-8908
Mailing address
1959 CHEROKEE COVE TRL, JACKSONVILLE, FL 32221-4927
(904) 881-8908
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906727
FL
Other
Enumeration date
01/30/2015
Last updated
05/19/2015
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