Organization
ADD TO LIFE ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY BLANTZ DIXON (DIRECTOR)
(904) 779-1777
Entity
Organization
Contact information
Practice address
5877 OLD TIMUQUANA RD, JACKSONVILLE, FL 32210-7888
(904) 779-1777
(904) 779-1711
Mailing address
5877 OLD TIMUQUANA RD, JACKSONVILLE, FL 32210-7888
(904) 779-1777
(904) 779-1711
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
8840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675886098
—
FL
Enumeration date
11/04/2010
Last updated
11/04/2010
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