Organization
M'BODI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA DEWAN TOLBERT (OWNER)
(904) 881-6884
Entity
Organization
Contact information
Practice address
12030 ALEXANDRA DR, JACKSONVILLE, FL 32218-8881
(904) 881-6884
Mailing address
12030 ALEXANDRA DR, JACKSONVILLE, FL 32218-8881
(904) 881-6884
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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