NPI 1114416872

Dorothy's Angels, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 3190 Sedona Trl, Jacksonville, FL 32208
Phone: (904) 798-0282
Mailing address: 3190 Sedona Trl, Jacksonville, FL 32208-8441

Authorised official

Name: Crystal Tramaine Simmons
Title: Owner
Phone: (904) 894-8386

Registered specialties (8)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI: 1114416872
Entity type: Organization
NPI issued: 8 May 2018
Record last updated: 27 Aug 2018

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.