DIAMOND SUPPORTED LIVING SERVICES, INC.
Agencies at Ivy St, Jacksonville, FL

License number
Florida 687831896 68783189
Category
Agencies
Type
Home Health
Owner
Name: TAZENA E. KENNEDY
Title: CHIEF EXECUTIVE OFFICER
Phone: (904) 307-6844
Address
Address
330 Ivy St, Jacksonville, FL 32206
National Provider ID: 1437225513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DIAMOND SUPPORTED LIVING SERVICES, INC. at bizstanding.com

Diamond Supported Living Services LLC

Jacksonville, FL

Status:
Inactive
Industry:
Community Services
Doing business as:
Diamond Supported Living Services, Inc
Registration:
Sep 4, 2012
Phone:
(904) 768-8448 (Phone)
Addresses:
PO Box 2678, Jacksonville, FL 32203
330 Ivy St, Jacksonville, FL 32206
State ID:
L12000114279
Business type:
Florida Limited Liability
Manager, Director:
Tazena E. Kennedy Manager, Director, inactive

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