5th Essentials LLC
Massage Therapist in Jacksonville, FL. Organization (NPI-2).
NPI number1114760246
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1114760246
- Entity type
- Organization (NPI-2)
- Legal business name
- 5th Essentials LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 372500000X | Chore Provider | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
5706 Blackthorn RdJacksonville, FL 32244-2008
Phone 904-385-3288
Mailing address
5706 Blackthorn RdJacksonville, FL 32244-2008
Phone 904-385-3288
Authorized official
Josie Jackson
Owner
2109990960
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