Organization
CHRISTIAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERTO GOMEZ (OWNER/ADMINISTRATOR)
(904) 724-2052
Entity
Organization
Contact information
Practice address
1350 EDDY RD, JACKSONVILLE, FL 32211-6223
(904) 724-2052
(904) 721-6641
Mailing address
1350 EDDY RD, JACKSONVILLE, FL 32211-6223
(904) 724-2052
(904) 721-6641
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7884
FL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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