Organization
QUARTERMAN TENDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DISHAUN QUARTERMAN (OWNER)
(904) 321-7478
Entity
Organization
Contact information
Practice address
119 N 11TH ST, FERNANDINA BEACH, FL 32034-3338
(904) 321-7478
Mailing address
119 N 11TH ST, FERNANDINA BEACH, FL 32034-3338
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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