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Organization
OLGA NICK ASSISTANT CARE
Active
Organization
OLGA NICK ASSISTANT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKAYLA SMITH (CEO)
(904) 698-2600
Entity
Organization
Contact information
Practice address
2873 YELLOW PINE CT APT 2, JACKSONVILLE, FL 32277-3453
(904) 698-2600
Mailing address
2873 YELLOW PINE CT APT 2, JACKSONVILLE, FL 32277-3453
(904) 698-2600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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