OrganizationActive
Lavon M. Gainey
NPI 1396298915 · Mental Illness Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1396298915
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marcus De Carvalho, Medical Director(904) 398-2020
Specialties & taxonomies
Residential Treatment Facilities
Practice location
11265 Alumni Way
Jacksonville, FL 32246-6685
Phone: (904) 518-6090
Approximate (ZIP-level) locationGet directions
Mailing address
11265 Alumni Way
Jacksonville, FL 32246-6685
Other names (DBA / former)
- Doing business as
- Quality Life Center of Jacksonville
Registry dates
- Enumerated
- 2016-08-01
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.