Individual
DWEH PAYLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 CATTLE CROSSING WAY, JACKSONVILLE, FL 32226-4760
(904) 253-5822
Mailing address
5302 CATTLE CROSSING WAY, JACKSONVILLE, FL 32226-4760
(904) 253-5822
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
04167305Z
FL
Other
Enumeration date
01/23/2025
Last updated
07/22/2026
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