NPI 1396904439

Porter's Ault Care

Organisation Respite Care Jacksonville, FL

Practice location

Address: 700 Day Ave, Jacksonville, FL 32205-5504
Phone: (904) 381-8962
Fax: (904) 381-8861

Authorised official

Name: Lashana Medina Porter
Title: Administrator
Phone: (904) 381-8962

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 9068 (FL)

Other Respite Care providers in Florida →

Registry record

NPI: 1396904439
Entity type: Organization
NPI issued: 4 Jun 2008
Record last updated: 4 Jun 2008

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.