Organization
WHOLEPATH COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIA BEYAH (CEO)
(904) 254-0400
Entity
Organization
Contact information
Practice address
3416 MONCRIEF RD STE 200, JACKSONVILLE, FL 32209-4340
(904) 659-7643
Mailing address
10948 RIVER FALLS DR, JACKSONVILLE, FL 32219-5137
(904) 659-7643
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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