NPI 1083037329

Debra's Adult Family Care Home

Organisation Adult Care Home Facility Jacksonville, FL

Practice location

Address: 3957 Victoria Lakes Dr S, Jacksonville, FL 32226-0710
Phone: (904) 379-0354

Authorised official

Name: Debra Althea Richards
Title: Owner
Phone: (904) 379-0354

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906605 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1083037329
Entity type: Organization
NPI issued: 22 Jan 2014
Record last updated: 22 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.