Organization
PEACHESNABASKET ADULT HEALTH SERVICES
Active
Other names
PeachesNaBasketAdult Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. B.DOLORES FLEMMING MS (CEO)
(904) 766-4993
Entity
Organization
Contact information
Practice address
2040 SOUTEL DR, JACKSONVILLE, FL 32208-2280
(904) 766-4993
(904) 713-9966
Mailing address
2040 SOUTEL DR, JACKSONVILLE, FL 32208-2280
(904) 766-4993
(904) 713-9966
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
231670
FL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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