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Organization
TINA SINES
Active
Organization
TINA SINES
Active
Other names
Jacks Therapy Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SINES (OWNER/OPERATOR)
(904) 598-4551
Entity
Organization
Contact information
Practice address
1214 LABELLE ST, JACKSONVILLE, FL 32205-6977
(904) 878-2204
(904) 467-3653
Mailing address
1214 LABELLE ST APT 159, JACKSONVILLE, FL 32205-6975
(904) 598-4551
(904) 467-3653
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
11/24/2021
Last updated
12/08/2021
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