Peaches-Na-Basket Adult Day Care Center, Inc.

LBN: Peaches-Na-Basket Adult Day Care Center, Inc.
Peaches-Na-Basket Adult Day Care Center, Inc. is an health care organization with primary practice located at 2040 Soutel Dr , Jacksonville FL 32208-2280. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Peaches-Na-Basket Adult Day Care Center, Inc. can be contacted via phone (904) 766-4993, or through Flemming, Bertha Dolores via phone (904) 766-4993.

Contact Information

Primary practice address
2040 Soutel Dr Jacksonville FL 32208-2280
Phone: (904) 766-4993
Fax: (904) 713-9966
Website:
Map and Directions
Authorized official contact:
Name: Flemming, Bertha Dolores MS, NHA
Phone: (904) 766-4993

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1811208804
LBN Legal business name Peaches-Na-Basket Adult Day Care Center, Inc.
DBA Doing business as
Authorized official Flemming, Bertha Dolores MS, NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2010
Last updated Sep 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811208804 NPPES
Florida MEDICAID 672949500

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