Individual
CORTNEY IRENE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 GILMORE ST, JACKSONVILLE, FL 32205-5516
(904) 405-6968
Mailing address
8049 LONGLEAF FOREST CT, JACKSONVILLE, FL 32210-9108
(904) 405-6968
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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