| NPI | 1265822175 |
|---|---|
| Doing Business As | DEMETRICE ADULT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | DEMETRICE DOWDELL Administrator/Owner 904-881-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906727) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-05-19 |