Organization
SHATARA'S PASSION CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOYA BROWN (OWNER/PRESIDENT)
(904) 400-5795
Entity
Organization
Contact information
Practice address
5163 MOOSE CREEK CT, JACKSONVILLE, FL 32218-9304
(904) 400-5795
(904) 724-7012
Mailing address
5163 MOOSE CREEK CT, JACKSONVILLE, FL 32218-9304
(904) 400-5795
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691277096
—
FL
05
—
691277098
—
FL
Enumeration date
05/13/2008
Last updated
05/13/2008
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