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DEMETRICE DOWDELL NPI 1265822175


NPI Information

NPI: 1265822175
Provider Name: DEMETRICE DOWDELL

Doing Business As: DEMETRICE ADULT FAMILY CARE HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1959 CHEROKEE COVE TRL
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 881-8908
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DEMETRICE DOWDELL is an adult care home custodial care facility in Jacksonville, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. DEMETRICE DOWDELL NPI is 1265822175. The provider is registered as an organization entity type.
The provider Is Doing Business As Demetrice Adult Family Care Home.

The provider's business location address is:

1959 CHEROKEE COVE TRL
JACKSONVILLE, FL
ZIP 32221-927
Phone: (904) 881-8908

The provider's authorized official is Demetrice Dowdell .
The authorized official title is Administrator/owner and has the following contact phone number (904) 881-8908.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 5/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home6906727FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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