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Organization
KINGDOM CARE LIVING HOMEMAKER AND COMPANION SERVICES, LLC
Active
Organization
KINGDOM CARE LIVING HOMEMAKER AND COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAKITIA JACKSON APRN-BC (CEO/ADMINISTRATOR)
(954) 464-5784
Entity
Organization
Contact information
Practice address
823 MOSSWOOD CHASE ST, ORANGE PARK, FL 32065-5541
(954) 464-5784
Mailing address
823 MOSSWOOD CHASE ST, ORANGE PARK, FL 32065-5541
(954) 464-5784
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/26/2019
Last updated
10/02/2019
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