Organization
FLETCHER'S TENDER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DAVID FLETCHER (PRESIDENT)
(904) 759-3203
Entity
Organization
Contact information
Practice address
1934 BEACHWAY RD, JACKSONVILLE, FL 32207-2320
(904) 858-9797
(904) 399-8474
Mailing address
59 19TH AVENUE NORTH, JACKSONVILLE, FL 32250
(904) 759-3203
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
10/25/2021
Last updated
11/02/2021
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