KEEPSAFE CENTER, INC.
Managed Care Organizations at Soutel Dr, Jacksonville, FL

License number
Florida N11795
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MS. HERMONYONE W WALKER MS
Title: ADMINISTRATOR
Phone: (904) 768-6456
Address
Address
5626 Soutel Dr, Jacksonville, FL 32219
National Provider ID: 1104822923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEEPSAFE CENTER, INC

Jacksonville, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 29, 1985
Inactive since:
Sep 24, 2010
Addresses:
Jacksonville, FL 32219 (Physical)
5626 Soutel Dr, Jacksonville, FL 32219
State ID:
N11795
Business type:
Florida Not For Profit Corporation
S:
Marian Davis, 3237 Ernest St, Jacksonville, FL 32205 (Physical),Walker, Hermonnyone, 12565 Willard Ln, Jacksonville, FL 32218 (Physical),Aundrea Worthy Director, inactive, 10677 Academy Dr, Jacksonville, FL 32218 (Physical),...
Agent:
Walker, Ms. Hermonyone,5626 Soutel Dr, Jacksonville, FL 32219 (Physical)
EIN:
59-2607775

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