Organization
PORTER'S ADULT CARE INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANA MEDINA PORTER (ADMINISTRATOR)
(904) 930-7579
Entity
Organization
Contact information
Practice address
700 DAY AVE, JACKSONVILLE, FL 32205-5504
(904) 349-1420
Mailing address
700 DAY AVE, JACKSONVILLE, FL 32205-5504
(904) 349-1420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
AL12235
FL
385H00000X
Respite Care
—
—
Other
Enumeration date
02/02/2014
Last updated
08/29/2024
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