Organization
FLETCHER'S TENDERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID FLETCHER (PRESIDENT)
(904) 387-4481
Entity
Organization
Contact information
Practice address
1934 BEACHWAY RD, JACKSONVILLE, FL 32207-2320
(904) 858-9797
(904) 858-9719
Mailing address
6851 DISTRIBUTION AVE S, JACKSONVILLE, FL 32256-2742
(904) 387-4481
(866) 381-7235
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
60080967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240001400
—
FL
Enumeration date
10/11/2007
Last updated
09/29/2016
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