Organization
PEACE OF HEART COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY GROSHELL (DIRECTOR)
(904) 294-0209
Entity
Organization
Contact information
Practice address
14 S ROSCOE BLVD, PONTE VEDRA BEACH, FL 32082-3812
(904) 294-0209
Mailing address
3907 PONTE VEDRA BLVD, JACKSONVILLE BEACH, FL 32250-5832
(904) 294-0209
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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