Organization
NORTHEAST FLORIDA RESIDENTIAL CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAUNDRIA DENISE SHAHEED (OWNER)
(904) 532-5186
Entity
Organization
Contact information
Practice address
4232 ARBOR MILL CIR, ORANGE PARK, FL 32065-3204
(904) 532-5186
Mailing address
4232 ARBOR MILL CIR, ORANGE PARK, FL 32065-3204
(904) 532-5186
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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