Organization
ASSISTEDHEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE HANDY-PETERSON (OWNER)
(904) 999-8272
Entity
Organization
Contact information
Practice address
1225 W BEAVER ST, JACKSONVILLE, FL 32204-1414
(904) 999-8272
Mailing address
1225 W BEAVER ST, JACKSONVILLE, FL 32204-1414
(904) 999-8272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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