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Chandelier Status Healthcare Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1710551726

Chandelier Status Healthcare Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Chandelier Status Healthcare Services Llc practices in Jacksonville, FL. The NPI Number for Chandelier Status Healthcare Services Llc is 1710551726 and holds a License No. (Florida).

The current practice location address for Chandelier Status Healthcare Services Llc is 8603 Darlington Dr, Jacksonville, FL and can be reached out via phone at 904-274-3625 and via fax at 904-634-5612.

Location: 8603 Darlington Dr, Jacksonville, FL, 32208-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710551726
Provider Name
Chandelier Status Healthcare Services Llc
Credential
Provider Entity Type
Organization
Address
8603 Darlington Dr, Jacksonville, FL, 32208-1838
Phone Number
904-274-3625
Fax Number
904-634-5612
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8603 Darlington Dr
City
Jacksonville
State
Florida
Zip
32208-1838
Phone Number
904-274-3625
Fax Number
904-634-5612
person
Provider Business Mailing Address Details
Address
8603 Darlington Dr
City
Jacksonville
State
Florida
Zip
32208-1838
Phone Number
904-274-3625
Fax Number
904-634-5612
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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