# JUANITA COMPANION CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003518002
- **Authorized official:** JOANNA L JOHNSON (AMBR)
- **Authorized official phone:** (904) 517-3882

## Contact information

- **Practice address:** 1365 HELENA ST, JACKSONVILLE, FL 32208-3325
- **Practice address phone:** (904) 517-3882
- **Practice address fax:** (904) 513-4985
- **Mailing address:** 1365 HELENA ST, JACKSONVILLE, FL 32208-3325
- **Mailing address phone:** (904) 517-3882
- **Mailing address fax:** (904) 513-4985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 03/21/2023