Individual
PATRICIA PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 CONFEDERATE POINT RD APT 10, JACKSONVILLE, FL 32210-5563
(904) 383-6653
Mailing address
4301 CONFEDERATE POINT RD APT 10, JACKSONVILLE, FL 32210-5563
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760104
—
FL
Enumeration date
08/21/2019
Last updated
08/21/2019
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