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Alicia Mitchell
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1114331501

Alicia Mitchell is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Alicia Mitchell practices in Jacksonville, FL. The NPI Number for Alicia Mitchell is 1114331501 and holds a License No. (Florida).

The current practice location address for Alicia Mitchell is 5583 Oak Crossing Ct, Jacksonville, FL and can be reached out via phone at 904-219-8551. You can also correspond with Alicia Mitchell through the mailing address at 5583 OAK CROSSING COURT, JACKSONVILLE, FL - 32244 (mailing address contact number: 904-219-8551).

Location: 5583 Oak Crossing Ct, Jacksonville, FL, 32244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114331501
Provider Name
Alicia Mitchell
Credential
Provider Entity Type
Organization
Address
5583 Oak Crossing Ct, Jacksonville, FL, 32244
Phone Number
904-219-8551
Fax Number
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5583 Oak Crossing Ct
City
Jacksonville
State
Florida
Zip
32244-8202
Phone Number
904-219-8551
Fax Number
person
Provider Business Mailing Address Details
Address
5583 Oak Crossing Ct
City
Jacksonville
State
Florida
Zip
32244-8202
Phone Number
904-219-8551
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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