Organization
HOPE ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JEAN JOHNSON LPN (ADMINISTRATOR)
(904) 249-4673
Entity
Organization
Contact information
Practice address
1560 ROBERTS DRIVE, JACKSONVILLE, FL 32250-3222
(904) 249-4673
(904) 249-4619
Mailing address
1560 ROBERTS DR, JACKSONVILLE, FL 32250-3222
(904) 249-4673
(904) 249-4619
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
9035
FL
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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