Organization
SHIPP ADULT FAMILY CARE HOME
Active
Other names
Delois Shipp
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELOIS W SHIPP (ADMINISTRATOR)
(904) 766-1850
Entity
Organization
Contact information
Practice address
8942 6TH AVE, JACKSONVILLE, FL 32208-2126
(904) 766-1850
(904) 766-1850
Mailing address
8942 6TH AVE, JACKSONVILLE, FL 32208-2126
(904) 766-1850
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
AF33
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141412700
—
FL
Enumeration date
04/24/2014
Last updated
09/14/2015
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