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Individual

JAMILYA BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6532 GENTLE OAKS DR S, JACKSONVILLE, FL 32244-3660
(904) 203-0891
Mailing address
PO BOX 441443, JACKSONVILLE, FL 32222-0015
(904) 747-2084

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/23/2021
Last updated
05/23/2021
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