# HAGAN HOMEMAKER COMPANION SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225575095
- **Authorized official:** MRS. BESSIE ELIZABETH HAGAN (OWNER)
- **Authorized official phone:** (904) 545-8002

## Contact information

- **Practice address:** 6099 GULF RD N, JACKSONVILLE, FL 32244-2522
- **Practice address phone:** (904) 545-8002
- **Practice address fax:** (904) 723-1829
- **Mailing address:** 6099 GULF RD N, JACKSONVILLE, FL 32244-2522
- **Mailing address phone:** (904) 545-8002
- **Mailing address fax:** (904) 723-1829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 234002 | FL | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017