Healthcare Provider Details

I. General information

NPI: 1003737552
Provider Name (Legal Business Name): OPPORTUNITY FOR HOUSING AND HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2938 JUSTINA RD
JACKSONVILLE FL
32277-3479
US

IV. Provider business mailing address

6181 SANDLER CHASE TRL
JACKSONVILLE FL
32222-1491
US

V. Phone/Fax

Practice location:
  • Phone: 850-432-3333
  • Fax:
Mailing address:
  • Phone: 850-432-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SHUANTELL GRAHAM-JOHNSON
Title or Position: CHIEF VOTING ADVISOR
Credential:
Phone: 904-597-1820