# AYADAWAY HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1093023608
- **Authorized official:** MR. ELTON MITCHELL HALLS R.R.T. (REGISTERED RESPIRATORY THERAPIST)
- **Authorized official phone:** (904) 329-1990

## Contact information

- **Practice address:** 12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
- **Practice address phone:** (904) 329-1990
- **Practice address fax:** (904) 329-1990
- **Mailing address:** 12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
- **Mailing address phone:** (904) 329-1990
- **Mailing address fax:** (904) 329-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L10000091096 | FL | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010