Organization
C & D ENTERPRISES OF NE FL, LLC
Active
Other names
A Motherly Love Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANE GOODEN (MANAGING PARTNER)
(904) 608-1861
Entity
Organization
Contact information
Practice address
8058 SWAMP FLOWER DR E, JACKSONVILLE, FL 32244-6161
(904) 955-9779
Mailing address
PO BOX 8303, JACKSONVILLE, FL 32239-0303
(904) 955-9779
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015523200
—
FL
Enumeration date
05/18/2016
Last updated
05/18/2016
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