Obi'S Adult Family Care LLC
Home Health in Jacksonville, FL. Organization (NPI-2).
NPI number1669987293
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1669987293
- Entity type
- Organization (NPI-2)
- Legal business name
- Obi'S Adult Family Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2017
- Last updated
- Apr 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 6906906 | FL |
Practice location
3130 Kingston StJacksonville, FL 32254-2524
Phone 904-728-7474
Mailing address
3130 Kingston StJacksonville, FL 32254-2524
Phone 904-728-7474
Authorized official
Makaela Obi
Owner
9047287474
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