Organization
HARRIS HOUSE ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HARRIS (CEO)
(904) 343-7411
Entity
Organization
Contact information
Practice address
9857 GIBSON AVE, JACKSONVILLE, FL 32208-1213
(904) 768-1283
(904) 768-1180
Mailing address
9857 GIBSON AVE, JACKSONVILLE, FL 32208-1213
(904) 768-1283
(904) 768-1180
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
9014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687233600
—
FL
Enumeration date
08/14/2013
Last updated
08/14/2013
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