Lacendia Mitchell
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Jacksonville, FL. Individual provider (NPI-1).
NPI number1578069209
StatusActive
Last updated in NPPESApr 2, 2018
Details
- NPI
- 1578069209
- Entity type
- Individual (NPI-1)
- Name
- Lacendia Mitchell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2018
- Last updated
- Apr 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | FL | Yes |
Practice location
11036 Lydia Estates Dr WJacksonville, FL 32218-6937
Phone 904-305-1608
Mailing address
11036 Lydia Estates Dr WJacksonville, FL 32218-6937
Phone 904-305-1608
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