Organization
FUTURE SIXCESS ASSISTED LIVING FACILITY, LLC
Active
Other names
Future Sixcess Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACENDIA MITCHELL (PRESIDENT)
(904) 305-1608
Entity
Organization
Contact information
Practice address
11036 LYDIA ESTATES DR W, JACKSONVILLE, FL 32218-6937
(904) 305-1608
Mailing address
11036 LYDIA ESTATES DR W, JACKSONVILLE, FL 32218-6937
(904) 305-1608
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578069209
NPI
FL
Enumeration date
06/20/2018
Last updated
06/20/2018
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