Organization
JOY-LITTLE ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA JOY LITTLE (OWNER)
(904) 469-5933
Entity
Organization
Contact information
Practice address
9148 RIDGE BLVD, JACKSONVILLE, FL 32208-1265
(904) 683-9949
(904) 574-8141
Mailing address
15744 BAINEBRIDGE DR, JACKSONVILLE, FL 32218-8349
(904) 469-5933
(904) 574-8141
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689847596
—
FL
Enumeration date
08/28/2020
Last updated
08/28/2020
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