Individual
LAQUITTA S BOUKNIGHT-RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12620 BEACH BLVD STE 3, JACKSONVILLE, FL 32246-7130
(904) 463-3771
Mailing address
12620 BEACH BLVD, SUITE 3 UNIT 322, JACKSONVILLE, FL 32246-7130
(904) 463-3771
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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