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Organization
PARK HOMECARE MANAGEMENT,INC
Active
Organization
PARK HOMECARE MANAGEMENT,INC
Active
Other names
Fletcher's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HUGGINS (OFFICE MGR)
(904) 733-4350
Entity
Organization
Contact information
Practice address
12443 SAN JOSE BLVD #501, JACKSONVILLE, FL 32223
(904) 733-4350
Mailing address
12443 SAN JOSE BLVD #501, JACKSONVILLE, FL 32223
(904) 733-4350
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650904500
—
FL
Enumeration date
03/07/2006
Last updated
02/12/2020
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