Organization
G A C SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILYA JONES (OWNER)
(904) 747-2084
Entity
Organization
Contact information
Practice address
6316 SAN JUAN AVE STE 41K, JACKSONVILLE, FL 32210-2831
(877) 720-8455
(904) 395-4310
Mailing address
6316 SAN JUAN AVE STE 41K, JACKSONVILLE, FL 32210-2831
(904) 203-0891
(904) 395-4310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103329000
—
FL
05
—
109533200
—
FL
05
—
110378800
—
FL
Enumeration date
07/31/2020
Last updated
04/06/2023
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