Individual
THASA DIANE HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 HYATT RD APT 1207, JACKSONVILLE, FL 32218-1794
(904) 651-9792
Mailing address
14041 HYATT RD APT 1207, JACKSONVILLE, FL 32218-1794
(904) 651-9792
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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