Organization
ABOVE & BEYOND FULL CIRCLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENA D HOOVER (OWNER/OPERATOR)
(904) 219-9210
Entity
Organization
Contact information
Practice address
731 DUVAL STATION RD STE 107-257, JACKSONVILLE, FL 32218-0800
(904) 219-9210
Mailing address
731 DUVAL STATION RD STE 107-257, JACKSONVILLE, FL 32218-0800
(904) 219-9210
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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