NPI 1104822923

Keepsafe Center, INC.

Organisation Point of Service Jacksonville, FL

Practice location

Address: 5626 Soutel Dr, Jacksonville, FL 32219-3772
Phone: (904) 768-6456
Fax: (904) 765-0264

Authorised official

Name: Hermonyone W Walker
Title: Administrator
Phone: (904) 768-6456

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence N11795 (FL)

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Registry record

NPI: 1104822923
Entity type: Organization
NPI issued: 27 Jun 2005
Record last updated: 22 Aug 2020

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.