Organization
A NEW DAWN SUPPORTED LIVING PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LITHO D SIBLEY (OWNER / CEO)
(904) 737-4589
Entity
Organization
Contact information
Practice address
7789 POINT VICENTE CT, JACKSONVILLE, FL 32256-7733
(904) 737-4589
(904) 419-0202
Mailing address
7789 POINT VICENTE CT, JACKSONVILLE, FL 32256-7733
(904) 737-4589
(904) 419-0202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230557
FL
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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