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Lacendia Mitchell
Child Intellectual and/or Developmental Disabilities Respite Care in Jacksonville, Florida
NPI 1578069209

Lacendia Mitchell is a Child Intellectual and/or Developmental Disabilities Respite Care based in Jacksonville, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Lacendia Mitchell practices in Jacksonville, FL. The NPI Number for Lacendia Mitchell is 1578069209 and holds a License No. (Florida).

The current practice location address for Lacendia Mitchell is 11036 Lydia Estates Dr W, Jacksonville, FL and can be reached out via phone at 904-305-1608.

Location: 11036 Lydia Estates Dr W, Jacksonville, FL, 32218-6937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578069209
Provider Name
Lacendia Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
11036 Lydia Estates Dr W, Jacksonville, FL, 32218-6937
Phone Number
904-305-1608
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11036 Lydia Estates Dr W
City
Jacksonville
State
Florida
Zip
32218-6937
Phone Number
904-305-1608
Fax Number
person
Provider Business Mailing Address Details
Address
11036 Lydia Estates Dr W
City
Jacksonville
State
Florida
Zip
32218-6937
Phone Number
904-305-1608
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Florida)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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