Organization
POWER HOUSE MIRACLE CENTER
Active
Other names
The Kings House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA A WADE (ADMINISTRATOR)
(904) 894-6828
Entity
Organization
Contact information
Practice address
10965 RIVER FALLS DR, JACKSONVILLE, FL 32219-5138
(904) 894-6828
Mailing address
10965 RIVER FALLS DR, JACKSONVILLE, FL 32219-5138
(904) 894-6828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11620
FL
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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