| NPI | 1851711279 |
|---|---|
| Doing Business As | DELOIS SHIPP |
| Entity Type | Organization |
| Authorized Contact | DELOIS W SHIPP Administrator 904-766-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL AF33) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2015-09-14 |