Individual
BEATRICE E HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5838 SOUTEL DR., JACKSONVILLE, FL 32219
(904) 465-5471
Mailing address
5838 SOUTEL DR., JACKSONVILLE, FL 32219-3738
(904) 465-5471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
374700000X
Technician
FB 9721679
FL
376K00000X
Nurse's Aide
CNA 248500
FL
Other
Enumeration date
10/28/2011
Last updated
06/01/2018
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