Individual
SHACOBI S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10825 KEY HAVEN BLVD APT 704, JACKSONVILLE, FL 32218-6409
(904) 489-0036
Mailing address
10825 KEY HAVEN BLVD APT 704, JACKSONVILLE, FL 32218-6409
(904) 489-0036
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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