person
Mr. Joseph Grant JR.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, Florida
NPI 1467110692

Joseph Grant JR. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jacksonville, FL. Joseph Grant JR. practices in Jacksonville, FL. The NPI Number for Joseph Grant JR. is 1467110692 and holds a License No. L21000489498 (Florida).

The current practice location address for Joseph Grant JR. is 1403 Dunn Ave Ste 2 #380, Jacksonville, FL and can be reached out via phone at 904-476-8949.

Location: 1403 Dunn Ave Ste 2 #380, Jacksonville, FL, 32218
person
Provider Profile Details
NPI Number
1467110692
Provider Name
Joseph Grant JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1403 Dunn Ave Ste 2 #380, Jacksonville, FL, 32218
Phone Number
904-476-8949
Fax Number
Provider Enumeration Date
12/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1403 Dunn Ave Ste 2 #380
City
State
Zip
32218
Phone Number
904-476-8949
Fax Number
person
Provider Business Mailing Address Details
Address
1403 Dunn Ave Ste 2 #380
City
State
Zip
32218
Phone Number
904-476-8949
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
L21000489498 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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