River City Companionship L.L.C.

LBN: River City Companionship Llc
River City Companionship L.L.C. is an health care organization with primary practice located at 7857 Delaroche Drive , Jacksonville FL 32210. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. River City Companionship Llc can be contacted via phone (904) 378-0561, or through Mccallister, Sheli Marie via phone (850) 241-4937.

Contact Information

Primary practice address
7857 Delaroche Drive Jacksonville FL 32210
Fax: (904) 378-0561
Website:
Authorized official contact:
Name: Mccallister, Sheli Marie

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 234691 Florida

Profile Details

NPI number 1811412539
LBN Legal business name River City Companionship Llc
DBA Doing business as River City Companionship L.L.C.
Authorized official Mccallister, Sheli Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2017
Last updated Jul 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 1811412539 NPPES
Florida MEDICAID 021062800

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