Individual
TAMARA BELCHER-BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 ALMIRA ST, JACKSONVILLE, FL 32211-4604
(904) 888-0984
Mailing address
2020 ALMIRA ST, JACKSONVILLE, FL 32211-4604
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
FL
343900000X
Non-emergency Medical Transport (VAN)
—
FL
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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