Quality Life Center Of Jacksonville
LBN: Lavon M. Gainey
Quality Life Center Of Jacksonville is an health care organization with primary practice located at 11265 Alumni Way , Jacksonville FL 32246-6685. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Lavon M. Gainey can be contacted via phone (904) 518-6090, or through De Carvalho, Marcus via phone (904) 398-2020.
Contact Information
Primary practice address
11265 Alumni Way
Jacksonville FL 32246-6685
Phone: (904) 518-6090
Fax:
Website:
Authorized official contact:
Name: De Carvalho, Marcus Doctor of Medicine (MD)
Phone: (904) 398-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1396298915 |
|---|---|
| LBN Legal business name | Lavon M. Gainey |
| DBA Doing business as | Quality Life Center Of Jacksonville |
| Authorized official | De Carvalho, Marcus Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2016 |
| Last updated | Aug 1st, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396298915 | NPPES |
| Florida | Other | MH13303 | MENTAL HEALTH LICENSURE # |
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