Organization
URBAN JACKSONVILLE, INC
Active
Other names
Aging True
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BARTON (CEO)
(904) 807-1240
Entity
Organization
Contact information
Practice address
4250 LAKESIDE DR STE 116, JACKSONVILLE, FL 32210-3300
(904) 807-1203
(904) 807-1220
Mailing address
4250 LAKESIDE DR STE 116, JACKSONVILLE, FL 32210-3300
(904) 807-1203
(904) 807-1220
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105912900
—
FL
Enumeration date
06/11/2008
Last updated
10/21/2025
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