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Organization

RIVER CITY COMPANIONSHIP LLC

Active
Other names
River City Companionship L.L.C.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELI MARIE MCCALLISTER (OWNER/CEO)
(850) 241-4937
Entity
Organization

Contact information

Practice address
7857 DELAROCHE DRIVE, JACKSONVILLE, FL 32210
(904) 378-0561
(904) 378-0561
Mailing address
7857 DELAROCHE DR, JACKSONVILLE, FL 32210-2566
(904) 378-0561
(904) 378-0561

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
234691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021062800
FL
Enumeration date
08/03/2017
Last updated
07/21/2022
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