Individual
MS. DESTINY PRATT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
846 BAKER AVE, JACKSONVILLE, FL 32209-7543
(904) 322-3706
Mailing address
846 BAKER AVE, JACKSONVILLE, FL 32209-7543
(904) 322-3706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
04/16/2019
Last updated
08/13/2020
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