# 123 BUTTERFLY EFFECTS L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacqueline Holmes
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124610092
- **Authorized official:** JACQUELINE HOLMES (OWNER)
- **Authorized official phone:** (770) 776-9567

## Contact information

- **Practice address:** 6619 ALBICORE RD, JACKSONVILLE, FL 32244-1821
- **Practice address phone:** (770) 776-9567
- **Mailing address:** 6619 ALBICORE RD, JACKSONVILLE, FL 32244-1821
- **Mailing address phone:** (770) 776-9567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 02/10/2021