Organization
FAITH BASED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRA R BEAUFORT CNA 350293 (OWNER)
(904) 480-2801
Entity
Organization
Contact information
Practice address
6959 LORIS LN, JACKSONVILLE, FL 32222-1790
(904) 480-2801
Mailing address
7643 GATE PKWY STE 104-994, JACKSONVILLE, FL 32256-3092
(904) 658-0719
(904) 253-3492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/13/2021
Last updated
10/18/2021
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