Healthcare Provider Details

I. General information

NPI: 1881039543
Provider Name (Legal Business Name): TONEY ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 05/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4406 NOTTER AVE
JACKSONVILLE FL
32206-6336
US

IV. Provider business mailing address

4406 NOTTER AVE
JACKSONVILLE FL
32206-6336
US

V. Phone/Fax

Practice location:
  • Phone: 904-355-2075
  • Fax: 904-355-2146
Mailing address:
  • Phone: 904-355-2075
  • Fax: 904-355-2146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number261QA0600X
License Number StateFL

VIII. Authorized Official

Name: MRS. JUANITA TONEY
Title or Position: DIRECTOR
Credential: NURSING ASSISTANT
Phone: 904-355-2075