Individual
DANIELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(904) 438-8590
(904) 830-0809
Mailing address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(904) 438-8590
(904) 830-0809
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106646900
—
FL
05
—
107766400
—
FL
Enumeration date
07/10/2020
Last updated
12/29/2022
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