Organization
JENESYS HEARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANCHETTA SUTTON EDS, LCSW (OWNER)
(904) 866-6961
Entity
Organization
Contact information
Practice address
8597 FALLING SPRINGS DR, JACKSONVILLE, FL 32244-8461
(904) 866-6961
Mailing address
PO BOX 440605, JACKSONVILLE, FL 32222-0007
(904) 866-6961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW14369
FL
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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