My Father's House Support Services Llc is a renowned Lodging in Jacksonville, Florida. It is located at 1130 W 28th St, Jacksonville, FL and its contact number is 904-576-5756. The authorized person for My Father's House Support Services Llc is Jemel A Powell
who is Owner of the place and their contact number is 904-576-5756.
My Father's House Support Services Llc A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Complete Profile:
My Father's House Support Services Llc speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
My Father's House Support Services Llc
Specialization:
Lodging
Address:
1130 W 28th St, Jacksonville, Florida, 32209-4012
Phone:
904-576-5756
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this hospice are as below. Person's position and contact details are also mentioned below.
Name:
Jemel A Powell
Position:
Owner
Contact Number:
904-576-5756
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for My Father's House Support Services Llc are as mentioned below.
NPI Number:
1932841590
NPI Enumeration Date:
12 Apr, 2022
NPI Last Update On:
12 Apr, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for My Father's House Support Services Llc are as mentioned below.
Specialization
License Number
State
Status
Day Training, Developmentally Disabled Services
Primary
Lodging
Secondary
Local Education Agency (lea)
Secondary
Hospice Care, Community Based
Secondary
Foster Care Agency
Secondary
Adult Day Care
Secondary
Developmental Disabilities
Secondary
Respite Care
Secondary
Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1205402870
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
My Father's House Support Services Llc 1130 W 28th St, Jacksonville, Florida
Zip:
32209-4012
Phone Number:
904-576-5756
Patients can reach My Father's House Support Services Llc at 1130 W 28th St, Jacksonville, Florida or can call to book an appointment on 904-576-5756.