Organization
EMMANUEL HOME CARE JAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN KITUA KALUME (ADMINISTRATOR)
(256) 651-8311
Entity
Organization
Contact information
Practice address
6535 BIG STONE DR, JACKSONVILLE, FL 32244-6843
(904) 574-8199
Mailing address
6535 BIG STONE DR, JACKSONVILLE, FL 32244-6843
(904) 574-8199
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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